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Doctor Pedro Cavadas who led the team that carried out the transplant in 2011. Fernando Bustamante/AP/PA

First person to have two-leg transplant has both limbs amputated again

Doctors said that the patient contracted an unrelated illness that forced him to stop taking anti-rejection drugs.

THE WORLD’S FIRST double-leg transplant patient has had both limbs amputated after an unrelated illness forced him to stop taking anti-rejection drugs, the Spanish hospital that carried out the operation said today.

“The patient who had two legs transplanted at the Hospital La Fe in 2011 had to undergo an operation to amputate the two extremities,” said a statement issued by the hospital in Valencia, eastern Spain.

The patient, who contracted an unrelated illness, had the two limbs amputated about a year and a half after the milestone transplant, it said.

He had to stop taking immunosuppressant drugs required to prevent his body rejecting the transplant because the medicine was complicating the treatment of the illness, the hospital said.

“In these cases the protocol is that, if the transplanted organ is not a vital organ, it should be removed from the patient so as to allow treatment of the illness that is more serious and urgent.”

10-hour transplant operation

The patient had not given permission for the release of information about his current treatment, the hospital added.

Renowned surgeon Pedro Cavadas led the team that carried out the original 10-hour transplant operation, which was completed on July 10, 2011.

The double leg surgery was touted as a world first.

More than 50 personnel were involved including surgeons, nurses, anaesthetists and transplant coordinators.

Surgeons had to connect nerves, blood vessels, muscles, tendons and bone structure.

But the patient, a man in his 20s who has not been identified, was obliged to take immunosuppressant drugs for the rest of his life.

Traffic accident

In an interview with the newspaper 20 minutos around eight months after the transplant, Cavadas said the patient was moving his legs in the swimming pool and the recovery was going “very well”.

The man had had both legs amputated above the knee after a traffic accident.

The height of the amputation prevented him from using a prosthesis, meaning that he would have been consigned to a wheelchair with “zero” chance of walking again, the transplant surgeon said at the time.

In October 2008, Cavadas carried out the first double arm transplant in Spain and the second in the world.

In August 2009 he performed Spain’s first face transplant on a patient who has since died of a pre-existing and unrelated illness. The Hospital La Fe gave no details and asked media to respect the privacy of relatives of the donor and recipient.

Spain has become a world leader in organ donation since it set up a network of transplant coordinators in 1989 at all hospitals to closely monitor emergency wards and identify potential donors.

“The Spanish transplant programme is a model because of the altruism and solidarity shown by donors,” the Hospital La Fe said.

- © AFP 2013.

Read: More blood donations needed to meet demand of ageing populations>
PICTURES: Daughter meets the woman who received her mum’s face>

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    Mute Niamh Ní Dhonnchú
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    Jun 11th 2013, 4:26 PM

    These jokes are in bad taste. That man has been through enough. He lost his legs only to be given a lifeline which undoubtedly took months and months of rehabilitation only for a stroke of bad luck to have his chance of walking taken away from him. Nothing funny about any of that. Imagine if it was someone in your own family who suffered like this.

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    Mute Damocles
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    Jun 11th 2013, 4:30 PM

    If it was someone in my family they’d expect jokes like these to try to ease the tension.

    But then you don’t know my family and aren’t really in a position to judge us.

    For instance my Dad had major heart surgery and they put a pig valve in him, after the surgery I asked him “So … will you still be able to eat sausages?” You’d probably think that was an awful thing to say but he found it quite funny.

    So don’t judge.

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    Mute Niamh Ní Dhonnchú
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    Jun 11th 2013, 4:35 PM

    @ Damocles. Except you don’t know this man so how are you supposed to know how he is going to react to jokes such as the ones made here. I’m of the opinion the jokes are in bad taste, that is not judging you.

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    Mute Damocles
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    Jun 11th 2013, 4:37 PM

    I’d rather assume that a person is an upbeat humourous type than a miserable old curmudgeon.

    Looking at his photo he looks quite friendly, good beardage at the very least.

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    Mute Niamh Ní Dhonnchú
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    Jun 11th 2013, 4:39 PM

    @ Damocles. Except that is a picture of the doctor who lead the surgery, not the patient.

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    Mute Chief PP In TeePee
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    Jun 11th 2013, 4:43 PM

    If you cartoonise him and slap a pair of glasses on him, he might even look a tad like yourself. By the way thats the doctor in the photo

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    Mute Damocles
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    Jun 11th 2013, 4:48 PM

    If that guy was my doctor I’d feel upbeat.

    The basic point still stands:

    I’d rather assume that a person is an upbeat humourous type than a miserable old curmudgeon.

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    Mute Chief PP In TeePee
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    Jun 11th 2013, 4:52 PM

    Yep usually guys that loose 4 legs are great target practice for jokes

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    Mute Niamh Ní Dhonnchú
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    Jun 11th 2013, 4:53 PM

    @ Damocles. Except people who experience such extensive surgery are not always going to be upbeat. Such an experience can have a very negative affect on the person through no fault of their own.

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    Mute Damocles
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    Jun 11th 2013, 4:57 PM

    Niamh, neither of us know how this chap is reacting. We can only assume and at the risk of repeating myself … I’d rather assume that a person is an upbeat humourous type than a miserable old curmudgeon.

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    Mute Niamh Ní Dhonnchú
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    Jun 11th 2013, 5:13 PM

    @ Damocles. Exactly “like this”. And while I certainly hope all is okay with your father, the two situations are extremely different. All I’m saying is that given his situation and, as you pointed out, neither of us know how he reacted, a little sensitivity would be a more positive reaction to this story.

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    Mute Damocles
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    Jun 11th 2013, 5:15 PM

    Laughter is the best medicine.

    Curmudgeonly complaining never helped anyone.

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    Mute brendan harlowe
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    Jun 11th 2013, 5:25 PM

    Funny in part due to the fact that he was recovering and would continue to do so! This man has now been confined to a wheelchair again for the rest of his life which actually has more long term health implications than just mobility! So yes, your jokes are in bad taste!

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    Mute Hassan Hashpotato Elsafty
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    Jun 11th 2013, 6:13 PM

    You need to give your opinions a break from the journal.

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    Mute Mary Kavanagh
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    Jun 11th 2013, 6:45 PM

    Laughter is the best medicine, but not at someone else’s expense, Damocles. I shouldn’t think this poor man is overly amused at present. If he has to stop taking his immunosuppressants it must be for quite a serious illness.

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    Mute Mary Kavanagh
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    Jun 11th 2013, 6:46 PM

    True Hassan and he should give the Journal a break.

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    Mute Nina Shelton
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    Jun 11th 2013, 6:53 PM

    Do ye reckon the patient will be reading the journal.ie then? A sense of humour never killed anyone, lighten up!

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    Mute Gadfly
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    Jun 11th 2013, 10:23 PM

    Think of all the money he’ll save on shoes.

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    Mute Damocles
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    Jun 12th 2013, 8:57 AM

    “I shouldn’t think this poor man is overly amused at present.”

    Well that’s the nub then isn’t it. You prefer to think that in adversity people dwell in despair and misery.

    I prefer to think that faced with adversity people have the option to be hopeful and upbeat.

    Glass half empty, Mary?

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    Mute Mary Kavanagh
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    Jun 12th 2013, 9:52 AM

    No, Damocles. But I’d say this man feels his glass is pretty empty at the moment. There he was with two perfectly functioning legs only to have them snatched away from him because of some illness which he was unfortunate enough to get. Talk about a double whammy! He may very well see the funny side of it later on but I suspect that he’s not feeling too chipper right now. (Always assuming this didn’t happen weeks or months ago).

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    Mute Rebecca Ní Smurchú
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    Jun 12th 2013, 4:47 PM

    I don’t think it’s your assumption to make Damocles – and you’re setting a false dichotomy there where the person is either a good spirited cheeky chappy about the loss of his legs (AGAIN) or a curmudgeon who can’t take a joke and lashes out at people who dare to smile.

    He could be a young man who has faced a devastating loss and would like people to show a bit of sensitivity at a time like this.

    Either way – you don’t know him, neither do I, and the safer assumption is to be respectful, and not a dick.

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    Mute Damocles
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    Jun 11th 2013, 4:09 PM

    To lose one leg may be regarded as a misfortune. To lose both looks like carelessness.

    To lose them both a second time … that’s just reckless.

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    Mute Adam Power
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    Jun 11th 2013, 4:11 PM

    Can’t see contacting an illness as reckless, not like he went outside without a jumper now

    42
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    Mute Damocles
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    Jun 11th 2013, 4:16 PM

    Oh. My. God.

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    Mute Damocles
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    Jun 11th 2013, 4:19 PM

    Not you, the other one.

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    Mute Mary Kavanagh
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    Jun 11th 2013, 6:40 PM

    Not all that funny a comment really, Damocles.

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    Mute Gearoid Griffin
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    Jun 11th 2013, 9:25 PM

    Jumper – boom boom!

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    Mute CAPT. ADEBAYO FLYNN
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    Jun 11th 2013, 4:30 PM

    ”Well you gotta ask yourself, what were his legs doing in a previous life”

    Glenn Hoddle

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    Mute mohamad oconnor
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    Jun 11th 2013, 7:16 PM

    I’d say he missed a few payments!!

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    Mute Jonny Rigley
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    Jun 11th 2013, 4:04 PM

    What a headline! Needed a few minutes 2stop laughing before I could read the article. .

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    Mute Some Feen
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    Jun 11th 2013, 4:59 PM

    Sick fool

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    Mute Karol Doran
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    Jun 11th 2013, 5:09 PM

    Jonny,

    You should be ashamed of yourself

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    Mute Justin Devaney
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    Jun 11th 2013, 5:49 PM

    You’re a funny guy jonny, what do you want to be when you’re a big boy?

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    Mute Jonny Rigley
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    Jun 11th 2013, 6:15 PM

    @Justin:

    I wanna b d guy bangin ur mom (mature enough come back 4u?)

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    Mute Francis Cussen
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    Jun 11th 2013, 6:47 PM

    Jonny the dudes name is called bob. Get it bob

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    Mute Justin Devaney
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    Jun 11th 2013, 7:15 PM

    Ill dig her up for you jonny

    12
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    Mute Damocles
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    Jun 11th 2013, 5:01 PM

    Amazing the amount of people who seem determined to take offence on this guy’s behalf.

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    Mute Chief PP In TeePee
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    Jun 11th 2013, 5:21 PM

    pig headed, never wrong, u probably get it from your father.

    Hope you don’t take offence to the joke

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    Mute Damocles
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    Jun 11th 2013, 5:26 PM

    I wouldn’t say I was never wrong, rarely wrong covers it.

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    Mute Chief PP In TeePee
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    Jun 11th 2013, 6:19 PM

    You’re the joke expert, you’ll work it out.
    Little hint though maybe the op had nothing to do with it.

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    Mute mohamad oconnor
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    Jun 11th 2013, 7:20 PM

    Damocles some folk just can’t take a joke!

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    Mute Dave Caplice
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    Jun 11th 2013, 8:06 PM

    Dont mind em..say what you want, its a free world..some people are just oozing compassion and empathy and cant stand people saying”distasteful”stuff.they cry at the thought of poor humpty lying broken on the floor…their problem not yours!

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    Mute Reg
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    Jun 11th 2013, 4:17 PM

    Hahaha you got to say that headline made you laugh, the poor c#@t.

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    Mute bob®
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    Jun 11th 2013, 4:15 PM

    Load of hokey kokey!

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    Mute B9xiRspG
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    Jun 11th 2013, 6:14 PM

    Gives a new meaning to legless…….

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    Mute Adrian O'Donnell
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    Jun 11th 2013, 6:16 PM

    Maybe if they gave him Red Bull next time? It gives you wings. Sorted.

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    Mute Damocles
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    Jun 11th 2013, 9:10 PM

    You know they originally put a woman’s legs on him.

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    Mute phunkyboy
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    Jun 11th 2013, 6:09 PM

    Bioengineering expirements are ongoing in Ireland now. They are interfacing people with the microchip.

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    Mute Richard Walsh
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    Jun 12th 2013, 1:12 PM

    The docs in big trouble, ,,, hasn’t got a leg ta stand on , ( whistles in air)

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