Author
Şahin, Mehmet Metin
Publication Date
2019-07
Subject
Organ transplantation, Living donor, Ethic, Obligation to inform, Contradiction on law
Type
Document
Language
Turkish
Digital
Yes
Manuscript
No
Library
Özyeğin University
Record ID
4c1b760f-b25d-4968-82d4-ad4d5cdcf251
Library Location
Department of Private Law
Date
2019-07
Sample Text
Despite the surgical developments and successes in human-to-human organ transplantation, organ rejection, which is the most important problem in organ transplantation, has made successful transplants possible with the discovery of new drugs that prevent immunity. However, due to the increase in the number of patients with end-stage organ failure, cadaver organ shortage and cultural reasons, the number of living donor organ transplants has gradually increased in the world. Since medical intervention on a healthy person, even at his/her own request, is against the law, laws allowing living inter-person organ transplantation have come into force in the light of international biomedical conventions. As the number of living organ transplants increases all over the world, especially in western countries, it has been revealed that there are negativities that seriously affect the life of the donor as a result of recording and monitoring the pressure, risks and medical problems that living donors are exposed to during and after the transplantation process. In international forums, the importance of informing the organ donor, informing and obtaining consent, and the importance of carrying out the process of obtaining the consent of the organ donor and correctly conveying the risks that may occur to the living donor are emphasized, and the necessity of supporting healthy living donors by an independent living donor defense team in organ transplant teams during the clarification period is emphasized. Medical, psychological problems and post-transplant negativities should be recorded by transplant centers in our country, in the central registry system of the Department of Health Organ Transplant Services, and all negativities regarding living donors should be recorded. Living organ donors, unlike the transplant team in our country, should be supported in all processes with enlightenment by healthcare professionals who advocate for them. We think that with these new applications, the legality of the living donor's informed consent will be stronger., In spite of surgical development and success in organ transplantation, rejection of organ which is the most important barrier in organ transplantation has enabled with the discovery of new immunosuppressive drugs that prevent immunity. However, due to the growing number of end stage organ failure patients in the cadaveric organ waiting list, cadaveric organ shortage and cultural reasons the number of live donor organ transplants has gradually increased. Due to the unlawfulness of medical intervention even with consent, laws allowing living donor transplants came into force in the light of international biomedicine conventions. With the increase of living donor transplants and with the close follow-up of the donors themselves - especially in the Western countries - there are negativities that seriously affect the donor's life regarding the pressure, the risk and the medical problems they are confronted during and after the donation have been revealed. There has been a constant emphasis in the many international forums that an independent living - donor support team should exist within the organ transplant team during the donor information phase, the procedures of living donor transplants ought to be more transparent to the donor. The process of informing, enlightening and obtaining the donor's consent must be improved. And the eventual risks must be explained correctly to the donor Medical and psychological problems and the post-transplantation problems must be registered also locally in the central data system of the Department of Health, Organ Transplantation Services by the transplantation centers themselves. All negativities that donors confront during the process must be registered also locally. The donors must also be supported in our country not only by the transplant team during the transplantation but also by an independent living donor support team. We believe that the consent of the informed donor will be more compatible with the related local laws with these new regulations.
