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Kidney Transplant
Dr Satarupa Deb is a well known Kidney Transplant Doctor in South Mumbai. She is associated with Bombay Hospital and Medical Research Institute, Mumbai which is famous for Kidney Transplants in Mumbai.
Kidney Transplant consists of the extraction of a kidney from a previously healthy individual (cadaver or live) and its placement in a patient with chronic end-stage renal failure.
Who can be Transplanted?
Not all patients with terminal chronic renal failure can be transplanted due to problems or limitations of a medical or surgical nature. This is the case with elderly patients (valuing biological age rather than chronological age) and those with significant problems of cardiac, hepatic, neurological, pulmonary origin, chronic infectious pathology, unresolved tumor diseases, etc. For any patient in whom the vital risk of the operation and of the complications associated with the anti-rejection medication is considered excessive or important, it is better to contraindicate the Kidney Transplant.
General Aspects of Kidney Transplant Surgery
A Kidney Transplant is an operation to put a healthy kidney (from a donor) inside the body. There are two types of donors:
Live Donor A living donor who is related to the patient and who is willing to give a kidney to the patient. A person can lead a healthy life based on one functional kidney.
Deceased Donor- Someone who has died in a road traffic accident or due to some medical reasons and is proclaimed brain dead, their family can opt for organ donation. You may need to have tests to see if the donated kidney is compatible with your type of tissue and blood type. Good tissue compatibility reduces the chances of your body rejecting the new kidney. They will also evaluate you to make sure you do not have significant heart or lung disease or other diseases, such as cancer, that could reduce your life expectancy.
Kidney transplant surgery usually lasts a few hours. During the surgery, surgeons will place the donated kidney in the lower abdomen, connect the blood vessels of the donated kidney to the arteries and veins of your body, and connect the kidney ureter donated to the bladder. The blood can then flow through the new kidney and the kidney will begin to filter and eliminate waste and produce urine.
The new kidney usually starts working immediately. In most cases, diseased or damaged kidneys are not removed unless you have a severe kidney infection (pyelonephritis), kidney cancer, nephrotic syndrome, or extremely large polycystic kidneys.
What to expect after surgery?
You will have to stay in the hospital for several days after receiving the new kidney. In some cases, it may take time for the new kidney to produce urine. Therefore, you may have to undergo dialysis and take medications, such as diuretics, to help the new kidney remove excess water and salt from the body.
After the surgery, you will have to take medications to suppress the immune system. These medications are used to help prevent the body from rejecting the new kidney. You should take these medications for the rest of your life.
During the 1st weeks or months after surgery, your body may try to reject the new kidney. This is called acute rejection and occurs in about 1 in 10 people in the first year after transplant. Most of the time, acute rejection can be treated with medications to prevent rejection (immunosuppressant’s).
Chronic rejection (also known as the chronic failure of allotransplantation) is a gradual and progressive process of loss of renal function and can occur many months to several years after surgery. Proper evaluation and specialist care is very much essential to handle such cases.
Dr Satarupa Deb is Consultant Nephrologist and Kidney Specialist Doctor in South Mumbai. For Kidney Transplant, Treatment and other related issues. Contact Now, for more info on Kidney Transplant.