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kidney-transplant

Kidney Transplant Surgery

A kidney transplant surgery involves removing the diseased kidney of a patients and replacing with a healthy kidney from another person.  It is needed to be done for the patients, who have reached to the end-stage renal disease. The kidney transplantation is basically two kinds as deceased donor or living donor. The type of transplantation depends on the source of the organ of the donor. The living donor renal transplants are also classified as non-related or genetically related transplants. It depends on the existence of the biological relationship between the recipient and donor. The surgical procedure performed to remove the kidney from the living donor is called nephrectomy. It is a minimally invasive surgical method.

Required condition of the patient

The kidney transplant program limits the age. He or she must have good health to bear the surgery. Patient with incurable terminal infectious diseases, cardiovascular diseases, on-going substance abuse issues, mental illness and cancer are excluded for this surgery. The patient needs to be checked if there are any medication complaints.

Donors

Technically, the donors do not need to be quite similar to the patient, because the medication for rejection prevention is so effectively developed. The elasticity of the donors and its relationship has been stretched that includes the relatives, acquaintances and even strangers. Donation of the kidney is not associated with the donor with long-term harm. The recovery of the donor is fast, because of the laparoscopic surgery, which also reduces the pain.

 

So, diseased donors can also donate the kidney and they are classified as BD or Brain –Dead donor and DCD or Donation done after Cardiac Death donors.

Compatibility

The donor and recipient have to be matched in certain parameters to ensure the compatibility of the kidney. Generally, they both are attempting to crossmatch HLA antigen and ABO blood group.

Pre-Transplant

The evaluation is performed to the donor and recipient. The donor has to be healthy enough to go through the surgical procedures as well as psychologically strong enough. He or she must stay normal after the donation. The evaluation also includes adequate dialysis and then made into an optical state, so that he or she will be able to withstand the renal transplant surgery, which is a major surgery.

Kidney Transplant Surgery in Delhi, India at Best Hospital

The kidney is generally placed in the location that is different from the place of the kidney. So, different blood supply is necessary to be given. The renal artery present in the kidney that had previously branching from the donor abdominal aorta. It is then connected to the recipient’s external iliac artery. The renal vein taken from the donor is then connected to the external iliac vein of the recipient. The procedure of the kidney transplant does vary from one country to another country.

The entire surgery takes the time about 3 hours. After the surgery, the blood vessels of the kidney are then connected to the arteries and veins present in the body of the recipient. Then the blood is allowed to be supplied in the kidney. Finally, the uterer taken from the donor is connected to the bladder.

Complications

There might be different complications possible from the surgery.
The first complication can be transplant rejection. This risk of rejection can be because of the sepsis or infection. The other complication can be post-transplant lymphoproliferative disorder, etc.

Post-Transplant

After the surgery is performed, the patient has to be taken care and given a specialized care. He or she must be taken to the post-transplant unit. One nurse has to be allocated dedicatedly in order to reduce the risk of cross-ingestion. Then the patient is observed closely with necessary monitoring systems employed. It should be ensured that the new organ has been accepted by the body. It is also required for optimum immunosuppressant medication.

Recovery

Patients are generally discharged after the fifth day after the surgery performed. Before discharging, the patient and the family members are given enough counseling about the post surgery, medication and necessary precautions to be followed by them in terms of diet, changes in the lifestyle. The necessary follow up schedule is also discussed to be done in the future.

The kidney will start functioning normal, after the surgery, depending on the quality of the kidney. It generally takes 3 to 5 days of time, when it is taken out from the living donor. If it is taken from the cadaveric donation, this period would be stretched from 7 to 15 days.

 

The recovery of the donor is also an important thing to consider. The kidney that has been removed in a small portion will be regrown in a few weeks. The digestion is very well functioned through one kidney present in the body. The activities of the donor would be regularly done after a few days of the operation.

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