Kidney & Nephrology

Kidney transplant

Description

A kidney transplant is a surgical procedure to replace a non functional kidney with a healthy one provided by a donor. The donor could be deceased person or someone from the family having a good match for the transplantation. The kidney cleans the blood and remove waste from the body and when it loses its ability to filter, dangerous fluid begins to accumulate in the body, causing life threatening conditions such as kidney failure or end stage kidney disease.

A person suffering from end stage renal disease (ESRD) where kidney failure is most common requires a kidney transplant as the diseased kidney is unable to perform its functionalities that could result in various hazardous complications. Other kidney conditions such as urinary infections, congenital kidney defects, glomerulonephritis, lupus, and kidney failures due to diabetes or hemolytic uremic syndrome also result in the need for a kidney transplant.

Before the treatment, the transplant team will carry out evaluation process for a kidney. Medical tests will be performed to check your overall health and the kind of blood type you have to find a suitable donor. The team will explain you about the procedure, where you can ask any questions, if you have. Kidney for transplantation comes from either a living donor or a deceased one.

In living donor, family members having the same blood type with the patient donate one of their kidneys. A person can live a healthy life with one kidney. While a deceased donor kidney comes from a person who has suffered brain death. Once the donor is found, certain tests are done such as blood tests, tissue tests, crossmatch and serology to make sure a healthy and appropriate kidney is transplanted into the patient.

The procedure begins by giving general anesthesia that puts the patient to sleep. Kidney transplant is a heterotopic transplant, means the placement of new kidney is different from its original one. A big incision is made into the stomach and the transplantation is done in the front part of the lower abdomen, while the diseased kidney is removed carefully. During the surgery the surgeon the surgeon places a new kidney inside the lower abdomen. The artery and the vein of the new kidney is then connected to the patients own artery and vein. During the entire procedure, vital signs of the patient, such as blood pressure, heart rate and pulse rate are recorded regularly. The whole procedure takes 2-4 hours to complete.

Complications

Every surgical procedure involves some kind of complications and kidney transplant is no exception. These are:

  • Infection
  • Rejection
  • Bleeding
  • Blockage of blood vessels
  • Leakage of urine
  • Not passing urine

These complications may arise at first due to the rejection, where the immune system may attack the functioning of the new kidney, thinking of it as a foreign object. Anti-rejection medications are given to reduce the effects of rejection and make the transplantation work more effectively.

Kidney Transplant in India is offered at some of the best hospitals for kidney transplantation.

Cost pf kidney transplant in India varies between US$ 14500 to US$ 21000, depending upon the patients medical condition and co morbidities.

Post operative care

Regular follow up is a must.

Follow your diet prescribed by your doctor and exercise regularly to regain your muscle strength.

Infections may include oral yeast infection, respiratory viruses and herpes, so avoid direct contact with the crowd.

A kidney transplant may offer mood changes, stress and depression. Stay involved in healthy activities and spend as much time as possible with family and friends.