Transplantology in law
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The procedure for providing medical care by organ transplantation has been approvedIrina Krasnopolskaya, Rossiyskaya Gazeta, Federal Issue dated 24.11.2009
"RG" publishes an order of the Ministry of Health and Social Development of the Russian Federation regulating the actions of physicians in relation to patients who need organ transplantation vitally.
Sergey Gauthier, Director of the Center for Transplantology and Artificial Organs, Corresponding Member of the Russian Academy of Medical Sciences, comments on the document:
– The document is very important. Why? Back in the pre-war years, our great scientist Vladimir Demikhov started organ transplantation for the first time in the world. However, Russia is not among the leading countries in the field of transplantation. Now in the USA, 5,000 liver transplants are performed every year. In Russia – 100. And although recently, after the ill-fated "case of the doctors of the 20th hospital", there have been clear advances, transplantology still does not appear in the list of medical specialties.
But back in 1992, the law on transplantation was adopted, which works. But public opinion to this day, to put it mildly, is not favorable to transplantology. Every now and then there are "horror stories" about organ trafficking and so on. An appropriate understanding of the social necessity of the development of transplantology is absolutely necessary. Society needs to realize that transplantation is not bad, but good, that it saves lives.
From this point of view, it is difficult to overestimate the importance of the published order. After all, in addition to strengthening the material base, in addition to training personnel for transplantology, documents regulating the actions of doctors in relation to patients in need of transplantation are very necessary. And the order of the Ministry of Health and Social Development defines the procedure for their seeking help, the procedure for sending such patients to medical institutions. It is determined to which institutions. How the recipient gets on the "waiting list", how the "movement" of patients in this list is controlled. How, who is being monitored before the operation and after the transplant. How, at what time should be monitored after transplantation. Who directs the patient, where, who consults him – everything is scheduled. Such detail is very appropriate.
The document was prepared with the participation of a specialized commission of experts under the Ministry of Health and Social Development. It will contribute to the domestic transplantation. But further improvement of the law and the formation of a system for providing donor organs are necessary. Now, on the instructions of the Ministry of Health and Social Development, we have developed a project for the organization of a centralized organ donation service. This service should regulate the mechanism of collection, storage, delivery of organs. Not on a voluntary basis, but in a strict legislative framework.
No less need instructions for the diagnosis of brain death in children. Without this, in Russia, the removal of an organ from a deceased child is impossible, and, therefore, it is impossible to carry out cadaveric heart or liver transplantation to children. The adoption of such an instruction has long been exaggerated. But no more than that. Of course, from the point of view of kidney and liver transplantation, this is not a very important matter. Although, of course, it should be. After all, often a child does not have the possibility of related donation, for example, sick relatives, incompatibility by blood type and other circumstances. Sometimes there are no relatives at all.
Nevertheless, the patient has the right to help. And then, of course, cadaver donation is needed. And if we are talking about heart transplantation, then there is no way to do without cadaveric donation. There can be no related heart transplantation.
Portal "Eternal youth" http://vechnayamolodost.ru24.11.2009