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First Crossover Kidney Transplantation In Germany

In a major development in Germany since the 2003,ruling by the Federal Social Court laying the way for the recent// introduction of crossover transplantation, German surgeons have performed a cross over transplantation very recently in Hamburg and Essen, Germany after a court ruling making the procedure legal in certain circumstances.

In a cross over transplantation a healthy person in one couple donates his or her kidney to the ill person in another couple, in exchange for a kidney from the recipient’s healthy spouse.

The Supreme court ruling related to an earlier incident in 1999, when a couple from Germany and a transplant surgeon from Freiburg, Germany, went to a transplantation center in Basel, Switzerland, to perform a kidney exchange with a Swiss couple. Switzerland has no legal obstacles to crossover transplantation and a tradition of performing such operations.

Some countries, such as Switzerland and Romania, allows such practice when a healthy partner in a couple is unable to donate his or her kidney to the spouse, either because of blood group incompatibility or the potential recipient’s sensitization to certain antibodies.

However in Germany this practice was considered illegal under the German transplantation law of 1997. To prevent trade in human organs the German law as anywhere, allows transplantation only between close relatives or between people who have a close relationship, such as a longstanding friendship.

Every arrangement in which one person offers a kidney to another has to be scrutinized by an independent committee to ensure that 'Trusting relationships between the couples have to be established' no economic incentives are offered.

In Germany pressure is mounting on the doctors and patients because of the shortage of donor kidneys as anywhere else in the world .The alternatives such as cross over are considered. Only 20% out of about 10,000 patients are awaiting a kidney, from cada
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