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What’s the difference between deceased donor and living donor?

Organ transplantation can be a life-saving method for those suffering from end-stage organ failures such as kidney organ failure or liver. In 2021, 70 donations were reported; in the first six months of 2022, 72 were registered.

Deceased donor and living donor are the typed of organ donation. Deceased donor transplantation involves removing the organ from a person who has recently passed away and is considered appropriate for kidney transplantation. Living donor transplantation involves a living person donating a part of an organ, such as a kidney, to a patient in need. In this blog, we will explore the differences between the deceased donor and the living donor transplant and their advantages and disadvantages.

Deceased Donor Transplant

A deceased donor transplant removes organs from a dead person who has been approved to donate an organ. Here is the process of deceased donor transplant, as well as its advantages and disadvantages.

Process of Deceased Donor Transplant 

When a person dies, medical specialists consider the suitability of their organs for transplantation based on their medical history and the circumstances of their death. After all the formalities, the organ procurement process begins if the organ is considered fit for transplantation. The organs are removed surgically and carefully from the deceased donor's body and transported to a medical facility where they can evaluate and prepare for transplantation. Organs are then allocated to the patient based on various factors, such as the recipient's medical necessity and compatibility with the donor's organ.

Advantages and Disadvantages of Deceased Donor Transplant

There are various advantages of a deceased donor transplant. First, organs are available more readily than living donors as they come potentially from the deceased person who has consented to organ donation. Also, the organs from a deceased donor can help one or more people by donating different organs that patients need. However, there are some disadvantages also; the availability of organs could be improved, which can cause long wait times for potential recipients. Also, the quality of the organs may be lower due to factors such as donors' age, medical history, or cause of death, which can affect the success of the transplantation. Finally, the transplant should be done quickly after the organ is removed from the deceased donor's body which can pose challenges.

Living Donor Transplant

A living donor transplant involves a living person who donates an organ for transplantation, such as a kidney or liver organ, to a patient in need. Here is a living donor transplant process and its advantages and disadvantages.

Process of Living Donor Transplant 

The process of a living donor transplant involves several steps. In the first step, the donor undergoes examinations and evaluations to decide if the donor is appropriately able to donate their organ. This examination includes medical and psychological tests to confirm that the donor is fit and can go for surgery safely. Once the donor is authorized for the transplantation, they undergo surgery to remove the organ that will be transplanted to the patient. The recipient then undergoes surgery to receive the donated organ, which is transplanted into their body.

Advantages and Disadvantages of Living Donor Transplant

There are various advantages of living donor transplants. Firstly the transplant can be scheduled in advance, which can minimize the wait time for the recipient. Also, the quality of the organ is higher as it comes from a healthy living donor. Living donor transplants can be more valuable and reliable as the screening is done before to see the compatibility with the recipient before the transplant.

However, there are some disadvantages to living donor transplants: the donor undergoes surgery and faces some risks related to surgery and anaesthesia, although these risks are generally low. Also, the donor may experience post-operative pain and need time to recover. Finally, the donor must make a voluntary decision to donate and may face financial loads related to the donation process.

Comparison between Deceased Donor and Living Donor Transplant

Significant variations exist between a deceased donor transplant and a living donor transplant. Here's a deeper look at the differences between the two types of transplants.

  • Organ Availability and Wait Times: the availability of organs and the consequent wait times for potential recipients is one of the primary disparities between the two methods of transplant. Deceased donor organs are often more easily accessible than a living donor organ; however, availability is based on the population's deceased donation rate. On the other hand, the availability of living donor transplants is limited by the quantity of willing and suitable donors, although this may be scheduled. 

  • Risks and Success Rates:  Both forms of transplant have different success rates. Because of the superior quality of the given organ and better screening for compatibility with the recipient, living donor transplants often have higher success rates. Nonetheless, the donor faces risks associated with living donor transplantation, including anaesthesia and surgical problems. Deceased donor transplants may have reduced success rates due to organ quality and a lack of pre-transplant screening, but the dangers for the donor are lesser because they have died.

  • Factors for Ethical and Social Concerns: There are also ethical and societal factors to consider. Transplants from deceased donors present concerns about permission and honouring the intentions of the deceased donor and their family. Living donor transplants pose concerns about donor coercion and justice, mainly when the donor is a family member or acquaintance. While choosing the sort of transplant that is best for each particular instance, these criteria must be considered.

Conclusion

To sum up, there is a significant need for organ donors everywhere since there are now more people on transplant waitlists than available organs. We can persuade more individuals to become donors and save lives by raising awareness about the importance of organ donation. If you wish to be an organ donor, you can sign up through your state's donor registry or an organ donation organization. 

If you are considering a living donor transplant, you should consult your doctor and loved ones to determine whether it is the best option. Dr abcd can be of assistance in helping you through the process of organ transplantation and better understanding the procedure to make your decision easier.

Dr. Jay Singh Arora
Renal Care
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