Kidney Transplant in Kharadi
Patients with End-Stage Renal Disease are best managed by Renal Transplantation.
Benefits of Kidney Transplantation: The benefits of Renal Transplant over keeping the patient on Hemodialysis are many:
Criteria for Donors:
- Normal lifestyle
- Freedom from Dialysis
- Higher energy levels and good nutritional status
- Cost-Effective in future.
Who can have a kidney transplant?
According to Dr. Yogesh Kaje kidney transplant is performed in patients who have existing end-stage renal disease or can have end-stage renal disease in the near future i.e. their kidney can fail within the near future.
There are few criteria to be fulfilled before a kidney transplant:
- Patients shouldn’t have any malignancies
- There shouldn’t be any active infection
- The patient’s urological abnormalities should be treatable or urological functions must be unharmed
4. The patient shouldn’t consume alcohol, drugs or smoking
5. The heart and lung of the patient should be consistent to easily deal with kidney transplant surgery
6. The patient should be ready to follow all the transplant protocols. He should even be fit enough to take the medication required without having the other problem.
7. The weight of the patient is another important factor, it should fall within the acceptable range of weight
Every potential candidate is taken into account on a personal basis. Several radiological, blood and urine tests are done and these are evaluated by the urologist.
Kidney Transplant—Living Donors:
Because of the increasing shortage of available deceased donor organs and also the resulting long wait times, many kidney transplant candidates choose living donor transplantation as an option.
After donating a kidney, having just one kidney doesn’t mean that an individual cannot live a normal life. One kidney is sufficient to live a healthy life. He can easily do normal daily activities and live an extended life.
Who can be A Living Donors?
Near Relatives like brothers, sisters, children, husband or wife and parents. Children should be over 18 years aged.
Unrelated Transplant- this is often done only in cases where no near relative is obtainable for donation or their kidney doesn’t match. this needs a recommendation from the state authorization committee.
Benefits of Living Donor Kidney Transplantation:
- Higher success rates
- Shorter waiting time
- Ability to schedule—Living donation allows patients to schedule a surgery time that’s convenient for the patient and donor.
- Avoidance of dialysis—early referral may allow transplant before initiation of dialysis therapy Preemptive Transplant
Criteria for Donors:
- Age between 18 and 65 yrs.
- Normal renal function with two kidneys
- Free of active infections
- Free of malignancies for a minimum of 2 years (history is evaluated individually) with exception of primary brain solid tumours in whom kidneys might be taken anytime for donation.
- No history of diabetes.
- No active/untreated drug abuse.
- Excellent physical and psychological state.
Criteria for selecting which kidney to be used for Kidney Donation: Right or Left
Other tests done before kidney transplant include DTPA Renal scan & CT Angiography of donors. Doctors prefer donor kidneys that have Lesser GFR (Function). Another important factor to think about is that the vascular anatomy of the kidney. Donor kidneys with less complex vascular anatomy are ideal for transplant.
Your surgeon can use open or Laparoscopic operation to extract the donor’s kidney. He will decide which process to use after considering the surgical history of the donor and also the complexity of vascular anatomy. Usually, open operation is used for right-sided donor nephrectomy because of technical reasons. it’s done if there’s a requirement for IVC Cuff Endostaplers.
The living donor is thoroughly checked and evaluated before the kidney donation. His or her medical and surgical history is checked thoroughly. Then he or she undergoes thorough physical examinations and a series of tests like blood tests, imaging, and other tests which provides a transparent picture of his overall physical health. A donor must be freed from any health complications or conditions like heart condition, liver problems or other such health concerns. Female donors also undergo gynaecological examination. Other tests include CT Angiography and an in-depth evaluation of psychological state.
In case of any problem, donors got to undergo more detailed testing to seek out out the extent of the matter. When a donor is found fully fit and free from any health complications, then he’s considered for kidney donation. then, he or she undergoes testing for compatibilities like blood group and tissue type.
The donor may have to remain for four to 5 days within the hospital. Before he or she will resume his or her normal life he or she must wait for one to at least one and a half month. Many donors take kidney donation in their stride and feel mentally satisfied and exalted. they’re often thrilled to possess helped restore health to close & dear relatives despite the risks. it’s like playing a hero for your near and dear ones. It strengthens their bond as they save the life of their dear ones. The team executing the kidney transplant aims at making it as easy going as possible so neither the recipient nor the donor feels exhausted and harassed.
Kidney Transplant—Deceased Donors:
If a recipient doesn’t have a possible living kidney donor or chooses to not have one, he or she will be placed on the deceased donor waiting list. A seniority list of all registered patients awaiting cadaver transplant is drawn up as per the NOTTO guidelines and allocation is done accordingly.
Transplant Surgery and Hospitalization:
When a patient visits the hospital, the patient will have preoperative evaluation and testing done before either a living or deceased donor kidney transplant. Blood is going to be drawn for routine lab tests and final donor/recipient cross-matching. If this final evaluation confirms that the patient doesn’t have new medical problems which the crossmatch is appropriate, then the transplant surgery will proceed. The duration of stay is about 7 to eight days.
Long term survival of the renal graft is an average of about 10 years, however, the range is 8 to twenty years.
We recommend a strict Follow-up regimen: Initially twice per week for the 1st month & thereafter once every week for the next 2 month followed by monthly follow up for first-year & then 3 monthly.
We monitor serial KFTS, TAC levels besides wound care, Input/output monitoring & general assessment & DJ stent removal after about 2 weeks.
The nursing staff and clinical coordinators will teach the patient about proper care and important skills like vital sign monitoring, measuring intake and output, taking medications properly.
Dr. Yogesh Kaje has performed multiple kidney transplant in kharadi, viman nagar, hadapsar area having a high success rate.