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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Bone Marrow Stem Cell Transplantation

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Bone Marrow Stem Cell Transplantation

A life saving procedure in various blood and cancer conditions.

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BONE MARROW TRANSPLANT

ABOUT

Bone Marrow Transplantation or BMT is typically a medical procedure done to introduce healthy bone marrow cells as a replacement to the damaged bone marrow. Bone marrow is a soft spongy tissue inside the bone. The new blood cells are formed from certain immature cells existing inside the bone marrow and these immature cells are known as stem cells.

BMT DEPARTMENT

The Department of Haematology and Bone Marrow Transplant at Max Healthcare, New Delhi, India offers state-of-the-art therapies for autologous, allogeneic, unrelated and mismatched and all kinds of bone marrow transplants. Backed by internationally trained Haematologists, the department has great expertise in treating both paediatric and adult patients with benign and malignant Haematological disorders of blood and bone marrow. Max Healthcare's state of the art HEPA (High-Efficiency Particulate Air) filtered Bone Marrow Transplant unit offers stem cell transplantation for both benign and malignant conditions in children and adults. Max Healthcare also boasts of a superb haematopathology back-up with state-of-the-art instruments including the most advanced flowcytometry machine. Our blood bank is well equipped with all therapeutic procedures including component support, platelet apheresis, plasmapheresis, leukapheresis and stem cell harvest.

DISEASES TREATED AT HAEMATOLOGY DIVISION

  • Blood cancer (Leukaemia, Lymphoma, Multiple Myeloma, Chronic Lymphocytic Leukemia, Hairy Cell Leukaemia)
  • Myelodysplastic syndrome
  • Anaemia-Thalassemia, Sickle Cell Disease, other Haemoglobinopathies, Iron deficiency or Megaloblastic anaemia, Haemolytic anaemia
  • Bone marrow failure syndromes (Aplastic anaemia, Fanconi's anaemia, Pure red cell aplasia)
  • Bleeding disorders (Haemophilia, ITP, Platelet function defects including von Willebrand disease)
  • Clotting disorder (Deep vein thrombosis)
  • Miscellaneous - Hemochromatosis, Hemophagocytic lymphohistiocytosis, Antiphospholipid antibody syndrome, Langerhan cell histiocytosis

Team that cares

Dr. Rahul Naithani
Cancer Care / Oncology
Dr. Rahul Naithani
Cancer Care / Oncology
Associate Director
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Treatments

ABOUT SURGERY

WHAT IS BMT?

A bone marrow stem cell transplant is typically a procedure carried out to replace damaged or destroyed bone marrow cells with healthy bone marrow stem cells. This procedure is found to be extremely effective in various Haematological (related to blood) and Oncological (related to cancer) conditions such as leukaemia, lymphoma, and multiple myeloma. There are mainly two types of transplants.

AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANTATION

This transplantation procedure involves using a patient's own stem cells. These stem cells are generally collected from vein of body using a cell separator machine after giving the patient growth factor injections for 4-5 days. After collecting adequate stem cells, patient is given high doses of chemotherapy which kills the disease.

Indications: Multiple myeloma, Lymphoma, Acute Myeloid Leukemia, Neuroblastoma, Brain Tumors

AUTOLOGOUS HEMATOPOIETIC STEM CELL TRANSPLANTATION

Stem cells are taken from another person, called a donor. The donor must partly match the patient genetically and special blood tests (HLA) are done to check if the donor is a good match. A brother or sister and sometimes other family members are most likely to be a good match.

Indications: Thalassemia, Sickle cell anaemia. Aplastic anaemia, Fanconi anaemia, Pure red cell aplasia, Metabolic disorders like Hurler's disease, Gaucher's disease, Krabbe's disease, Immunodeficiency states-SCID, leukocyte adhesion deficiency, Hemophagocytic lymphohistiocytosis, Acute lymphoblastic leukaemia (ALL), Acute myeloid leukaemia (AML), Chronic myeloid leukaemia CML.

HAPLOIDENTICAL BONE MARROW TRANSPLANTATION

This procedure is done when the donor and recipients do not have full match. This can be done by collecting stem cells from mother, father or brothers and sisters.

Matched Unrelated Donor (MUD) BMT: This procedure is performed if we get HLA match from international or national bone marrow donor registries.

CORD BLOOD STEM CELL TRANSPLANTATION

In this case, stem cells are removed from a new-born baby's umbilical cord immediately after birth. The stem cells are stored until they are needed for a transplant.

IS SURGERY REQUIRED?

NO. Bone Marrow Transplantation is a medical procedure. Rarely, when donor is very small then stem cells are collected by bone marrow aspirations. Mostly, stem cells are collected via peripheral vein and the whole procedure is like donating blood or platelets.

Risk Factors

RISK TO DONOR

With modern day techniques, risk to donor is nearly absent. They may get fever and or body pain for 1 day or so which is managed with paracetamol tablet alone. The donor need not be admitted, does not require anesthesia.

BMT REQUIREMENTS

Procedure of Bone Marrow transplantation: Usually patient is given few medicines to control the disease. After that stem cells are given via vein. No surgery is required. There is about 1-2 week observation time after this as this is the time required for stem cells to start to function. During this time patient is given certain medicines to prevent infection. Patients also need blood and platelet transfusions during this phase.

Generally patients are admitted for 3 weeks in autologous transplantation. In case of allogeneic bone marrow transplantation, hospital admission is required for about 4 weeks. Patients are then discharged some oral medications to prevent infections and GVHD. Patients need to stay closer to BMT center for about 3-6 months for follow-up after BMT. Most patients are taken off all medicines by 6 months to 1 year.

Treatment Protocols- At Max Healthcare, we follow internationally accepted protocols and guidelines for management of various disorders

Clinical Directorate

Clinical Excellence Reports

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

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