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Bone Marrow Transplant

Bone Marrow Transplant in India

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Bone Marrow Transplant

A Bone Marrow Transplant is a treatment that replaces unhealthy marrow with a healthy one. It is indicated when the bone marrow in human body is not healthy enough to carry out its normal functions due to any disorder or cancer of blood cells.

Bone Marrow Transplant is a very complex procedure and requires comprehensive and accurate planning and carefulness. There are 2 main types of Bone Marrow Transplant

  • Autologous Bone Marrow Transplant
    In this type of BMT, patient’s own body’s healthy blood forming stem cells are collected and processed to replace with the unhealthy and diseased blood cells.
  • Allogenic Bone Marrow Transplant
    In this type of BMT, the healthy blood forming cells are taken from a donor person whose tissue has the same genetic type as the patient. This donor can be a family member like your siblings, parents or can be someone unrelated to you.

    Depending on the relation of the donor and matching of tissue, Allogenic BMT is further classified into 3 types.
    • Complete Matched Sibling Donor BMT: In this, the donor is most likely to be a brother or sister of the patient. These are often a complete match to patient’s tissue
    • Haplo-identical BMT: It is a type of Allogenic BMT in which parents are usually a donor to the patient since they are half match for their children. In cases, where a complete match is not found and the patients do not have any sibling, the expert surgeon considers parents to be a donor and perform Haplo-identical BMT.
    • Un-related Donor BMT: In cases, where there is no sibling and parents are also not a match for the patient, then Un-related Donor BMT is the solution, in which donor who is unrelated to you is made available for the transplant from the Donor Match Registry.

Bone marrow is the vital semi-solid, fatty tissue which is found inside the spongy or cancellous part of bones of human body. It is the primary site of production of new blood forming cells in the body which is also commonly known as hematopoiesis. The new blood forming cells that the bone marrow produces includes-

  • Red Blood Cells (Erythrocytes): which carts oxygen and vital nutrients to all parts of the body
  • White Blood Cells (Leukocytes): are the cells of body’s immune system involved in protecting the body against infections and foreign invaders.
  • Platelets (Thrombocytes): are the tiny blood cells that helps in the formation of blood clots so as to stop or slow down bleeding during injury and thereby helping the wounds to heal.

Interesting facts about Bone Marrow

Bone marrow makes more than 200 million new red blood cells every day, along with white blood cells and platelets.

There are two types of bone marrow

  • Red Bone Marrow also known as Myeloid Tissue: This consists of delicate, highly fibrous tissue containing hematopoietic stem cells which are blood forming cells
  • Yellow Bone Marrow also known as Fatty Tissue: This consists of mesenchymal stem cells that produce fat, cartilage and bone.

The production of healthy stem cells is vital. Blood cells have a limited life span which means they need to replace constantly with healthy stem cell. After maturation, the blood cell move from bone marrow into the blood stream where they perform necessary functions to keep the body healthy and alive.

The highest concentration of blood cells producing bone marrow is found in the bones of vertebrae, hips, breastbone, ribs, skull and ends of long bones i.e. humerus, femur and tibia.

In some cases, the healthy bone marrow cells starts to malfunction and starts producing flawed and abnormal blood cells that affects the normal functioning of the human body. This happens as a result of disorders like cancers such as leukemia, aplastic anemia or any other immune deficiency disorder. In such cases, bone marrow transplantation is indicated.


Indications for BMT

Enlisted below are the some of the common reasons to undergo Bone Marrow Transplantation Surgery

It is indicated to replace diseased Bone marrow in

  • Cancers such as Leukemia, Lymphoma, Multiple Myeloma.
  • Inherited Blood Cell Diseases such as Thalassemia and Sickle Cell Anaemia
  • Conditions in which the bone marrow stops producing new blood cells such as Aplastic Anaemia
  • Replacing the damaged bone marrow due to high doses of chemotherapy or radiation to treat certain malignancies
  • Congenital Neutropenia which results in recurrent infections

Are you a Candidate?

As a matter of fact, BMT procedure is associated with numerous risks and complications due to its complexity. Thus, Bone Marrow Transplant is recommended

  • In patients where other treatment options have failed
  • In patients who are at higher risk of his/her disease to return back without transplant
  • In cases where the benefits of Bone Marrow Transplant prevail over the risks and complications associated with the surgery
  • In patients who are in otherwise good condition and have matched stem cell available from either a sibling or parents and family member.

Procedure

Being a complex procedure, Bone Marrow Transplant requires comprehensive and accurate planning. The expert surgeon firstly needs to assess the patient comprehensively to be very sure that patient is healthy enough to endure and give positive response to the transplant. Thus, patient needs to undergo battery of investigations and evaluations to assess the important organs such as lungs, kidneys, heart, liver etc. Basis on the results of evaluation, if the patient is well enough then Bone Marrow Transplant procedure is carried out in the following stepwise manner.

Step 1: Harvesting of Healthy Stem cells:

  • In cases of Allogenic BMT, the bone marrow is harvested from the suitable matched donor 1-2 days prior to the transplantation procedure. The donor is given general anesthesia and the stem cells are harvested from the hip bone or iliac crest (since the stem cells are located here in abundance), using a needle.

  • In case of Autologous BMT, the blood from the patient’s own body is collected intravenously and a specialized machine is used to separate the white blood cells containing stem cells from the blood. This procedure is known as Leukapheresis.

Step 2: Conditioning of the patient:
In case of blood cell cancers, the patient needs to undergo either chemotherapy or radiation therapy before transplantation surgery so as to destroy the cancerous cells and to create space for the new or healthy bone morrow.

Step 3: Stem cell transplant:
After conditioning, the patient is prepared for the transplant procedure. To begin with, a central venous catheter termed as port is positioned on the upper right side of patient’s chest wall. The harvested stem cells from the donor are then infused in the patient’s body through this port. These new stem cells flows directly to patient’s heart via port from where the new cells are circulated throughout the patient’s body via bloodstream. These cells then establish themselves in the bone marrow steadily to grow.

Step 4: Engraftment:
The infusion of new stem cells is done in multiple sessions that help these healthy new cells to amalgamate in the patient’s body. In addition to this, the patient also receives blood transfusions, platelet transfusions, antibiotics and fluids through the same port which further helps the patient’s body to fight infections and accept the newly formed bone marrow. This entire process is termed as Engraftment.

Step 5: Patient’s Monitoring:
Once infusion is done, the patient is closely monitored to check the organ functions and to check for any signs of rejection or complications. In addition, constant monitoring is required to check if engraftment has occurred. Precautions are also required to be taken to avoid any infection. The procedure is considered successful once the newly engrafted bone marrow begins to produce normal blood cells.


Cost of Bone Marrow Transplant in India

India is one of the most affordable places for Bone marrow transplant procedure across the globe. We certainly understand that if you have chosen to travel overseas for your Bone marrow transplant, then you are indeed looking for cost effectiveness. When you speak about the best, MedicoExperts is the name you can trust on. Modern technology, State of the art hospitals, most coveted BMT surgeons and specialists, excellent infrastructure at par with international standards, no language barrier, personalized attention, safe surgery and seamless travel are some of our zeniths which magnetizes individuals worldwide to get their Bone marrow transplant Surgery in India done through us.

We are thus committed to offer you the best possible and special negotiated prices for your Bone marrow transplant Surgery without compromising on the quality of medical services and results.

Here's a look at the approximate costs of Bone marrow transplant Surgery in India:

SNo Name of Procedure Cost in India (USD)
1 Evaluation Package 800 - 1200
2 Chemotherapy 1000 - 1500
3 Radiation Therapy 3500 - 5500
4 Allogenic Bone Marrow Transplant with Matched Sibling 22000 - 37500
5 Haplo-Identical Bone Marrow Transplant 36000 - 50000
6 Unrelated Bone Marrow Transplant 65000 - 90000

Expected Outcomes and Results

Bone marrow transplant is a life-saving procedure. The outcomes and results of Bone Marrow Transplant have improved over the years now. A successful transplant helps save the life of a person which was otherwise not possible.


Recovery Timeline

Recovery after Bone Marrow Transplant is long and tiresome, both physically and emotionally for the patient and family. Initial 3 months are critical enough for the recovery of the patients. They needs complete monitoring during this span since there are high chances of complications and risk of rejection of the transplant. Patient may complain of feeling fatigued, weak and is unable to concentrate for first few weeks post-surgery, however full recuperation may take up-to 1-2 years.

An estimated stay of around 2-3 months are required in India for the Bone Marrow Transplant Surgery and complete recovery, post which the patient can fly back to his/her country.


Why MedicoExperts?

We at MedicoExperts believe in assisting you to get well-being with complete information about Bone Marrow Transplant Surgery in India. Being thorough with all the benefits from the appropriate treatment option, will help you make an informed choice.

We also provide you a platform for online video consultation so as to connect you with our chosen top BMT Surgeons in at the best hospital in India for all your concerns and queries regarding Bone Marrow Transplant Procedure. We assure you hassle free arrangements for your medical travel, evaluations, treatment, recover and stay in India. With the expertise of MedicoExperts, you can be rest assured about your complete safety, comfort and wonderful experience of medical tourism in India.

For more details and information, you may send your medical history and diagnostic reports to enquiry@medicoexperts.com. for a swift response from our team.