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Professor Omer Beleil was
the soul of initial kidney transplantation efforts in Sudan
in 1974.The first kidney Transplant in Sudan took place in
Khartoum Teaching Hospital in 1974 It was the second in
Africa (South Africa 1967) and the second in the Middle East
(Jordan 1972).
Kidney transplant in Ibn Sina Centre:
In 1975 Soba University Hospital performed the first
transplantation followed by Ibn Sina hospital in 1986. By
the year 1995 there were more than 200 transplants that have
been performed in Soba and Ibn Sina hospitals by joint team
from the two hospitals. The year 2000 was the real launching
of the transplantation program in Sudan. The authorities
started to fund the transplantation and now it is fully free
for patients. Ibn Sina hospital transplantation program had
a pause for sometime for many reasons including the lack of
transplant surgeons in Sudan. Sporadic transplantation took
place after this period. Till 2005 around 90 - 100 patients
were transplanted in Ibn Sina. In 2008 the transplant
program became stable and around 50 patients were
transplanted successfully. The new transplant complex is now
ready and currently active. It contains an ICU units with 8
beds fully equipped as well as another intermediate care
unit which has 8 beds with proper equipments. The complex
has its own dedicated theatre for kidney transplantation. A
decent lab that can perform the HLA and viral testing has
been recently upgraded. The unit has 25 dialysis machine
working three shifts per day one of them in the ICU
especially for post transplantation if needed in case of
delayed graft function. Patients were classified into three
groups according to their viral status. Each group has its
own wards and staff to reduce the cross-infection and
minimizing acquired viral infection in dialysis ward. The
centre is responsible for training nephrology fellowship
candidates among other centres in Sudan. A full week
dedicated work of two general nephrology referral clinic,
kidney transplanted patient referral clinic, daily
pre-transplant workup clinic and two grand rounds reflects
the hard work and enthusiasm of the nephrology group in the
hospital. Twice weekly teaching activities for registrars
and fellowship candidates are part of the unit contribution
to new generations. The unit is supported with a library
that allow proper literature search and give sufficient
references for learning including electronic library.
Transplantation is fully free in Sudan including pre and
post transplant investigation, immune monitoring and
immunosuppressant medications. This lead to the publicity of
the program and currently there are more than 2000
transplanted patients.
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The conference: Renal Transplantation
challenges
in the Arab World |
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