PRACTICAL ASPECTS OF ORGAN TRANSPLANTATION BASED ON THE REGULATORY DOCUMENTS AND CLINICAL PRACTICE AT THE COMMUNAL NON-PROFIT ENTERPRISE “LVIV CLINICAL EMERGENCY HOSPITAL”

Abstract

Introduction. Organ transplantation is an established form of treatment that is recognized as the best and often the only life-saving therapy for final organ replacement. The increased number and quality of organ and tissue transplant allows suggesting that in the future, transplantation will take a central stage in the routine clinical practice.Evidence of obtained information. The analysis of literature for the past 15 years has been made using MEDLINE, Google Scholar, Researchgate medical databases dedicated to brain death diagnostics and regulating organ transplantation; own data processed in the form of the presented clinical case.Evidence synthesis. The implementation of regulatory documents and guidelines into the clinical practice allows clear and coordinated execution of all medical and legal procedures aimed at intra-vitam and post-mortal human organ retrieval and transplantation. Brain death confirmation is a multi-disciplinary procedure. Both medical outcomes of organ retrieval and transplantation, and their ethical aspects and legal consequences depend on its adequate conduct.In the past six months, brain death was confirmed 7 times in Lviv, with two cases of multi-organ retrieval and transplantation (2 hearts, 4 kidneys and 1 pancreas (exitus letalis). In addition, two kidneys were transplanted from family members.In total, 5 heart transplants were performed in Ukraine, 4 of which were performed under the leadership of Oleh Samchuk, the current Head of the Communal Non-Profit Enterprise “Lviv Clinical Emergency Hospital”.Conclusions. Organ transplantation is possible in multi-field general hospitals provided that the process is clearly organized, the requirements of current legislation and regulations are carefully observed.