| Azlan Othman |
RAJA Isteri Pengiran Anak Saleha (RIPAS) Hospital successfully performed its second kidney transplant last week, this time around on Abd Azim bin Hj Munawwar, who had been suffering from renal disease and had received haemodialysis since early this year.
The 29-year-old received the new kidney from his father, Hj Munawwar bin Hj Seryati, 56, and both are now in stable condition. The donor is in good health and was discharged from the ward on October 20, while the recipient is still receiving treatment at the intensive care unit of the hospital.
Such transplant is the best choice of procedure for end-stage renal disease patients compared to renal placement therapy treatment such as haemodialysis and peritoneal dialysis. It also provides firmer health and allows the patient to enjoy a normal life.
The kidney transplant is more cost-effective compared to dialysis treatment, and saves the government money when the procedure is performed locally rather than overseas.
“The ministry has plans to carry out more organ transplants in the future. With health screening and suitable donors, we would be able to carry out more kidney transplants next year. We are capable in terms of facilities, more intensive care units and our local doctor capabilities,” Minister of Health Pehin Orang Kaya Johan Pahlawan Dato Seri Setia Awang Haji Adanan bin Begawan Pehin Siraja Khatib Dato Seri Setia Awang Haji Mohd Yusof told the media yesterday.
Brunei had recorded a historical milestone in health after carrying out the first kidney transplant in November last year.
The second transplant and treatment was executed successfully by several specialists, doctors, nurses and local health professionals from the Renal Services Department and RIPAS Hospital.
The consultants directly involved in this second transplant was a local nephrology specialist from the Renal Services Department, Dr Jackson Tan, and two surgeons from RIPAS Hospital, Chua Hock Beng and Tan Kim Khee. They were assisted by Prof Mohan Rao, a surgeon from Australia, and Prof Tan Si Yen, a nephrology specialist from Malaysia.
The transplant was also successful thanks to cooperation from the patient and donor who adhered to the heaith professional advice, in addition to the support from all parties and the availability of facilities and sophisticated equipment at RIPAS Hospital.
Statistics have shown that up until February 2014, the number of patients with end-stage renal disease in the country requiring renal placement therapy treatment totalled 656. Of this, 575 are undergoing haemodialysis, while 45 are undergoing peritoneal dialysis.
Meanwhile, Dr Jackson Tan said the patient would be discharged in a few days, and that they would monitor him in the coming months to see whether the process was truly successful. For the time being, the operation has been successful.
He also urged the public to donate their kidney to enable patients to undergo such transplant. This would enable a patient to lead a normal life. This prolongs a patient’s life span by up to two to three times compared to those undergoing dialysis treatment.
Currently, the number of patients undergoing dialysis in the country is very high, and such transplant would help reduce such figure.
Meanwhile, Hj Munawwar said he feels healthy after the operation which was conducted six days ago.
“I only felt the pain for a day or two after the operation and I still feel like I have two kidneys.”
This procedure is more systematic and recognised by the World Health Organisation (WHO) and RIPAS Hospital.