How is a Bone Marrow Transplant Done?

Bone marrow transplants are done by taking the bone marrow from the hip of the donor. After the donor's marrow has been collected, the recipient gets the new marrow in a central venous catheter. You can find more information here: nlm.nih.gov/medlineplus/ency/article/003....

These treatments are designed to treat the underlying condition, but they also cause destruction of the bone marrow cells. Then your transplant cells (which have not been treated with the chemotherapy or radiation) will be put into your bloodstream through the catheter in your chest. Transplant cells will travel through your blood and settle into the spaces where your original cells were.

The new cells will multiply. Until they reach a certain level, your body will not be able to fight germs and infections very well, so you will have to stay in the hospital in a special room where you will be protected from germs.

A thin needle is put into your hip bone and marrow is then pulled out. It is done as an outpatient procedure with a local anesthetic to reduce the pain.

The bone marrow test is usually done as an office procedure. The patient is usually asked to lie prone (on his abdomen) or to one side. The marrow sample is usually taken from the hip bone.

The skin is cleansed with an antiseptic, and a local anesthetic is injected to make the skin numb. For bone marrow aspiration, a thin needle is inserted into the bone and advanced inwards with a slow rotating movement till the marrow is reached. A small amount of liquid marrow is withdrawn.

For a bone marrow biopsy, a thicker biopsy needle is inserted into the bone. The core of the biopsy needle is removed, and the needle is pressed forward into the marrow and rotated in both directions. A small sample of the bone marrow enters into the needle.

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