Human organ transplantation is one of the most successful advances in the 20th century. According to the World Health Organisation, organ transplantation is an effective therapy for end-stage organ failure. The procurement of organs for transplantation involves the removal of organs from the bodies of deceased persons. This removal must follow legal requirements, including the definition of death and consent. Kidney transplantation is by far the most frequently carried out transplantation globally. As the procurement of human organs for transplantation from deceased or live donors and the subsequent allogeneic transplantation may entail ethical and safety risks for both recipients and donors, strict controls and effective oversight should be carried out by the health authorities to protect them. (Photo: VietnamPlus) 
Surgeons and nurses at Military Central Hospital 108 hold a one-minute silence to honour the humane gesture of the donor. The ethical aspects of transplantation are at the forefront given the unmet patients’ needs and the shortage of transplants, the WHO said. Vietnam has made strides in tissue and organ procurement and transplantation as major accomplishments in the field have been on the rise. The surgery was part of multiple organ transplants Military Central Hospital 108 conducted on September 16. This is the fourth time the hospital has implemented organ procurement and transplant at the same time. The organs, which were taken from a brain-dead donor, were transplanted to six patients. (Photo: VietnamPlus) 
A young man receives the forearm transplant. The 18-year-old man lost his forearms three years ago in an accidental explosion. Since then, he has faced difficulties in his daily life and been unable to pursue his educational dreams. Now, nearly two months after the surgery, the patient’s wounds have healed and the limbs are adapting well. The patient is able to hold things and use a mobile phone. He still needs to undergo more physical therapy to improve his range of movement. Mai Hong Bang, Director of the hospital, said the surgery was an outstanding success in the field of limb transplantation in Vietnam after the success of the first limb transplant from a live donor last January. (Photo: VietnamPlus) 
Fortunately, his dream to have his both of his forearms back now becomes a reality. After nearly two months from the surgery, the 18-year-old patient’s pains have healed and the limbs are adapting well. He is able to hold things and use a mobile phone. He still needs to undergo more physical therapy to improve his range of movement. On January 21 this year, doctors at the Central Military Hospital 108 performed the world's first limb transplant from a live donor, opening up new opportunities for treating patients with damaged limbs. The patient receiving the limb was Pham Van Vuong, 31, from Thanh Tri district in Hanoi. (Photo: VietnamPlus) 
The patient’s joy after the surgery. The patient is able to hold things and use a mobile phone. He still needs to undergo more physical therapy to improve his range of movement. He lost his forearms three years ago due to injuries he sustained in an accidental explosion. Since then, he has faced difficulties in his daily life and been unable to pursue his educational dreams. The 10-hour long surgery to transplant organs for the six patients required very close co-ordination and implementation among specialists in the Military Central Hospital 108. According to the hospital, since 1998, about 89 limb transplants – a highly sophisticated microvascular surgery technique – have been performed worldwide. (Photo: VietnamPlus) 
The surgery helps him have both of his forearms again. After nearly two months from the time of the surgery, the patient’s pains have healed and the limbs are adapting well. The transplantation was part of multiple organ transplants the Military Central Hospital 108 conducted on September 16. This is the fourth time the hospital has implemented organ procurement and transplant at the same time. The organs, which were taken from a brain-dead donor, were transplanted to six patients. At the beginning of this year, the hospital received another serious case. The victim also suffered a work accident that damaged his upper left arm, near the armpit. (Photo: VietnamPlus) 
A health worker helps the organ recipient to recover as he still needs to undergo more physical therapy to improve his range of movement. The hospital successfully performed five other transplants on the same day. The 10-hour long surgery to transplant organs for the six patients required very close coordination and implementation among specialists in the hospital. After the transplants, all the patients are in stable health condition. Mai Hong Bang, Director of the Military Central Hospital 108, said the surgery was an outstanding success in the field of limb transplantation in Vietnam after the success of the first limb transplant from a live donor last January. (Photo: VietnamPlus) 
Twelve operations are conducted simultaneously with the participation of more than 150 doctors, nurses, pharmacists and technicians. In particular, a lung transplant case was coordinated by a team of experts from the Central Lung Hospital, Mai Hong Bang, Director of the Military Central Hospital 108, said. The hospital, in coordination with the National Coordinating Centre for Human Organ Transplantation, conducted out a heart transplant for a patient with end-stage dilated myocarditis at the Hanoi-based Vietnam-Germany Friendship Hospital. After the transplants, all the patients are in stable health condition. Liver and kidney transplant patients were discharged three weeks after surgery, and lung transplant patients were discharged four weeks after the operation. (Photo: VietnamPlus) 
Surgeons perform a lung transplant surgery, also known as pulmonary transplantation, part of multiple organ transplants on September 16. The first lung transplant from a brain dead donor in Vietnam was performed by doctors at the Vietnam – Germany Friendship Hospital in December 2018. The hospital revealed the identity of the first patient who was able to come out of the hospital after a successful lung transplant in October 2019. Especially, for lung transplant recipient, post-operation care is the most challenging due to various matters of concern, such as lung infection prevention, respiratory care, immunosuppressant drugs, physical therapy and body enhancement, among others. (Photo: VietnamPlus) 
Operations are performed simultaneously with the participation of more than 150 doctors, nurses, pharmacists and technicians. In particular, a lung transplant case was coordinated by a team of experts from the Central Lung Hospital. The number of patients waiting for donated tissues and organs in Vietnam is growing fast, while only a few of them have had the opportunity to receive organ transplants due to the scarcity of donors in the country. According to the Vietnam National Coordinating Centre for Human Organ Transplantation, in Hanoi’s major hospitals alone, around 6,000 patients are in need of kidney and over 1,500 others are on the waiting list for liver transplants. Over 6,000 people need cornea replacements, while heart and lung transplants are critical to saving hundreds of others. (Photo: VietnamPlus) 
Health workers congratulate the patient who is discharged the hospital after a successful lung transplant. Vietnam has so far conducted 3,200 kidney, 105 liver, 27 heart and only three lung transplants. The first two transplants of lungs were performed by Vietnamese doctors and their foreign partners at Military Hospitals 103 and 108. As of the end of August 2018, the number of brain-dead and circulatory-dead donors had reached 223, accounting for 6.6 percent of the total donors. The majority of organs used in transplant in Vietnam are from living donors. Since 2018, the Vietnam National Coordinating Centre for Human Organ Transplantation has cooperated with Vietnam Airlines to transport tissue and organs on its flights for free. (Photo: VietnamPlus) 
The patient is discharged from the hospital after the successful pulmonary transplantation. The case was coordinated by a team of experts from the Central Lung Hospital and the 10-hour long surgery to transplant organs for the six patients required very close coordination and implementation among specialists in the hospital. The lung transplant was carried out on a 54-year-old male patient diagnosed with primary pulmonary fibrosis, while a liver transplant was carried out for a patient with acute liver failure against a background of cirrhosis due to a hepatitis B virus infection and two kidney transplants were done for two separate patients with end-stage chronic renal failure. (Photo: VietnamPlus) 
For the doctors and medical workers, it is a major battle. As the surgery took place in 10 hours straight on six patients, very close and meticulous coordination and implementation among specialists in the hospital are vital. After the transplants, all the patients are in stable health condition. The liver and kidney transplant patients were discharged three weeks after surgery, and the lung transplant patients were discharged four weeks after the procedure. Vietnam has so far conducted 3,200 kidney, 105 liver, 27 heart and only three lung transplants. Between 2013 and 2018, there were 19,300 donors that were brain dead or had no heartbeat, according to the National Coordination Centre for Human Organ Transplantation. (Photo: VietnamPlus) 
Military Central Hospital 108, in coordination with the National Coordinating Centre for Human Organ Transplantation, took and transported a donated heart to conduct a heart transplant for a patient with end-stage dilated myocarditis at the Hanoi-based Vietnam-Germany Friendship Hospital. The Vietnam-Germany Friendship Hospital is the leading medical facility in the country in conducting multi-organ transplants. It supports other medical facilities and contributes to saving the lives of a large number of patients through the use of modern technology. Over the past 60 years, the hospital has carried out thousands of complex heart surgeries, notably 26 heart and two lung transplant operations. (Photo: VietnamPlus) 
The Hanoi-based Military Central Hospital 108 has become the first medical facility in Vietnam and Southeast Asia to successfully perform a double forearm transplant. This is the fourth time the hospital has implemented organ procurement and transplant at the same time. Human organ transplantation is one of the successful advances in the 20th century. According to the World Health Organisation, as the procurement of human material for transplantation from deceased or live donors and the subsequent allogeneic transplantation may entail ethical and safety risks for both the recipient and the donor, strict controls and effective oversight should be carried out by the health authorities to protect them. (Photo: VietnamPlus) 
The young patient can lift both transplanted forearms. He lost his forearms three years ago in an accidental explosion. Since then, he has faced difficulties in his daily life and been unable to pursue his educational dreams. He had harboured a strong wish to have to normal limbs for daily activities and lead a normal just like everybody. Fortunately, his dream to have his both of his forearms back now becomes a reality. After nearly two months from the time of the surgery, the patient’s pains have healed and the limbs are adapting well. The young man is able to hold things and use a mobile phone. (Photo: VietnamPlus) 
Surgeons perform one of the surgeries. Health workers of the Hanoi-based Military Central Hospital 108 successfully perform six transplants on the same day. Twelve operations were conducted simultaneously with the participation of more than 150 doctors, nurses, pharmacists and technicians. As the surgery took place in 10 hours straight on six patients, very close and meticulous coordination and implementation among specialists in the hospital are vital. After the transplants, all the patients are in stable health condition. The liver and kidney transplant patients were discharged three weeks after surgery, and the lung transplant patients were discharged four weeks after the procedure. (Photo: VietnamPlus) 
A patient is on stable recovery after a liver transplant. It is the 51st successful hepatic transplantation conducted at the Military Central Hospital 108. At present, such operations are performed regularly at the hospital, especially with liver donated by live persons, as 14 cases have been successfully carried out so far. The liver and kidney transplant patients were discharged three weeks after surgery. As of October this year, doctors at the hospital performed 240 transplantations, including 69 kidney, 62 stem cell, 36 marrow, 17 cornea, three pulmonary and two limb transplants. After the transplants, all the patients are in stable health conditions and recover well. (Photo: VietnamPlus) VNA
