EXCELLENCE IN KIDNEY
TRANSPLANT
Kidneys are one of the most vital organs in the body and their non function can result in a person facing severe health problems. Kidneys are the two bean-shaped organs located on both side of the spine behind abdominal organs below the rib cage.

Kidney transplant used to be a very complicated surgery few years back, but now a days kidney transplant in India has become a very common surgery with excellent outcomes. At Treatment Surgery India, we can help you get connected to the best kidney transplant hospitals and doctors from all over India. Some of our doctors have over 20 years of experience in performing complex renal surgeries.

 

Kidneys are one of the most vital organs in the body and their non function can result in a person facing severe health problems. Kidneys are the two bean-shaped organs located on both side of the spine behind abdominal organs below the rib cage. Kidneys extract waste from blood, maintains balance of body fluids, form urine, and help in other important functions of the body. Urine produced by kidneys is carried to the bladder by the ureters. Urine gets stored in the bladder. When the body senses that the bladder is full, the urine is excreted from the bladder through the urethra.

 

Chronic Kidney Disease (CKD): In state of chronic kidney disease, which is also known as CKD, the kidneys are not able to extract waste from the blood and there is an accumulation of toxic waste products in the body resulting in permanent damage to the kidneys. This condition is irreversible and with time often worsens until the kidneys fail which is known as ESRD

 

Causes of Kidney failure : High blood pressure and Diabetes are the leading causes of chronic kidney disease (CKD) and kidney failure. Physical Injury and few other diseases can also cause Kidney failure. Damaged kidneys are unable to extract waste and extra water from the blood causing serious illness to the patient.

Initial stages of Chronic Kidney Disease do not present any aggressive symptoms and is often silent but few symptoms which can be for any other disease also. The disease advances very slowly that most of the patients remain unaware of it until the disease gets to the advanced staged. In advanced stage often patient is rushed to hospital for live saving dialysis. Chronic Kidney disease is also carried in families. Risk of developing the disease is higher if the first degree relative (father, mother, sister or brother) has kidney failure.

 

How is Diagnosis established :

As early stage of Chronic Kidney disease (CKD) has no symptoms, the diagnosis is made by using basic medical tests.

 

Blood Pressure: Blood Pressure is one of the major causes which can lead to serious damage of kidneys. It is very important to keep high blood pressure under control to ensure the kidneys remain healthy.

 

Blood Investigation: There is a test called Glomerular Filtration Rate (GFR) which can measure how efficiently the kidneys functioning and are filtering waste from the blood.


Urine Test: Urine test is carried out to measure amount of protein called albumin the urine. If the there is large amount of protein in urine (proteinuria) it indicates problem with kidney. Laboratory technicians put a dipstick in the sample of urine. Level of protein is analyzed by seeing color of the dipstick.

Kidney transplant is an operation in which a healthy kidney from a living donor or deceased donor is placed into a person whose kidneys are seriously damaged and are not functioning normally.

 

Generally steps during Kidney Transplantation Operation, hospitalization and post discharge :

 

  • Patients own clothes will be changed with hospital gown
  • Shaving of hair will be done at the surgical site.
  • Urinary catheter is placed
  • Patient is positioned lying on his back on the operation theatre.
  • Kidney transplant surgery is done under general anesthesia.
  • Anesthetist closely monitors heart rate, blood pressure, breathing, and blood oxygen level all through the surgery.
  • Skin over the surgical site is cleaned with antiseptic solution.
  • Incision is made by the doctor into the lower abdomen on one side.
  • Donors kidney is once again inspected physically before implanting it.
  • Donors kidney is placed at the site.
  • Renal artery and vein of the donors kidney is sewn to the external iliac artery and vein.
  • Blood flow through the vessels is checked by the surgeons

 

Once the surgery is done patient is taken to the recovery room where BP, pulse, breathing is monitored. Patient is then moved to ICU for few days for close monitoring.

 

Usually the kidney from a living donor starts to make urine right immediately after the surgery. In the cases of cadaver donors it may take a bit longer till the urine starts generating. In such cases patients may have to continue their dialysis till the urine output gets normal. Patient’s urine output is measured on daily basis to check efficiency of Kidney. Till soft diet is started patient remains on IV fluids. Patient is discharged from the hospital once vital signs are stable, urine output is normal.

What is the duration of treatment?

Kidney transplant patient is usually hospitalized for 8-10 days. Out of these 10 days patient stays in ICU for 2-3 days.

 

What are the precautions for patients?

Stitches and staples are removed during the next regular follow-up visit. Driving is restricted for some time. Restrictions on few physical activities till the doctor advises

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