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A kidney transplant is an operation to place a healthy kidney in your body. The transplanted kidney assumes the function of the deficient kidneys and you will not need any more dialysis treatment.
During a transplant, the kidney transplant surgeon in Delhi places the new kidney in the lower part of the abdomen and connects the renal artery and vein to the kidney. Often, the new kidney will begin to produce urine as soon as the blood begins to flow through it. But sometimes it takes a few weeks to start working.
Many transplanted kidneys come from deceased donors. Some come from family members in life. The wait for a new kidney can be long. People who have had a transplant must take medicine for the rest of their lives to prevent their organism from rejecting the transplanted kidney.
Description
Kidney transplants are one of the most common transplant operations in India.
A donated kidney is needed to replace the work previously done by your kidneys.
The donated kidney can come from:
- A living family donor: related to the recipient, such as a parent, a sibling or a child
- A dead donor: a recently deceased person known to have had no chronic kidney disease
The healthy kidney is transported in cold water with salt (saline) that preserves the organ for up to 48 hours. This gives best urologist in East Delhi time to carry out blood and tissue compatibility tests on the donor and recipient.
PROCEDURE FOR A LIVING KIDNEY DONOR
If you are going to donate a kidney, you will be given general anesthesia before surgery. This means that you will be asleep and will not feel pain. Currently, kidney transplant surgeon in India can use smaller surgical incisions with laparoscopic techniques to remove the kidney.
PROCEDURE FOR THE PERSON WHO RECEIVES THE KIDNEY (RECEIVER)
People who receive a kidney transplant in Delhi undergo general anesthesia before surgery.
- The surgeon makes an incision in the lower abdominal area.
- The kidney transplant surgeon in Noida places the new kidney inside the lower abdomen. The artery and vein of the new kidney are connected to the artery and vein in the pelvis. Blood circulates through the new kidney, which produces urine exactly as your own kidneys did when they were healthy. Then the tube that carries the urine (ureter) is connected to the bladder.
- Your kidneys are left in place, unless they are causing a health problem. Then, the wound is closed.
The kidney transplant surgery takes approximately 3 hours. People with diabetes can also have a pancreas transplant at the same time. This can add another 3 hours to the surgery.
Why the procedure is done
You may need a kidney transplant in Delhi if you have ESRD. Diabetes is the most common cause of ESRD in India. However, there are many other causes.
A kidney transplant may NOT be done if you have:
- Certain infections, such as TB or bone infections
- Problems taking medications several times each day for the rest of your life
- Heart, lung or liver disease
- Other life-threatening diseases
- Recent history of cancer
- Infections, such as hepatitis
- Current behaviors such as smoking, alcohol or drug abuse or other risky lifestyle habits
Risks
The specific risks related to this procedure include:
- Blood clots (deep vein thrombosis)
- Heart attack or stroke
- Infections of wounds
- Side effects of the medications used to prevent rejection of the transplant
- Loss of transplanted kidney
Before the procedure
You will be evaluated in the transplant center by a medical team consist urologist in East Delhi, Nephrologist in Delhi and assisting staff. They need to verify that you meet the requirements for a kidney transplant. You will have several visits in the course of several weeks or even months. You will need blood drawn and x-rays taken.
Tests that are done before the procedure include:
- Determination of tissue and blood group to help verify that your body is not going to reject the donated kidney
- Blood or skin tests to check for infections
- Heart tests such as electrocardiography, echocardiography or cardiac catheterization
- Tests to look for cancer in the initial stage
It will also be necessary to consider one or more transplant centers to determine which is the best for you.
- Ask the center staff how many transplants they perform each year and what the survival rates are. Compare these numbers with those of other transplant centers.
- Ask for support groups that are available and the type of per diem and accommodation modalities they offer.
If the transplant team believes that you meet the requirements for a kidney transplant, they will put you on a national waiting list.
Your place on a waiting list depends on many factors. Key factors include the type of kidney problems you have, the severity of your heart disease, and the likelihood that the transplant will be successful.
For adults, the time you are on a waiting list is not the most important thing, nor is it a factor in determining how quickly you will get a kidney. Most people waiting for a kidney transplant are on dialysis. While waiting for a kidney:
- Follow any diet that your transplant team recommends.
- Do not drink alcohol.
- Do not smoke.
- Keep your weight in the range recommended. Follow any recommended exercise program.
- Take all medications as prescribed. Report changes in your medications and any new medical problems or that are making the transplant team worse.
- Attend check-up appointments with your regular kidney specialist in Delhi and transplant team. Make sure the transplant team has the correct phone numbers so you can be notified immediately if a kidney is available. Make sure they can contact you quickly and easily.
- Ready everything in advance to go to the hospital.
After the procedure
If you received a donated kidney, you will need to stay in the hospital for approximately 3 to 7 days. After this, you will need careful monitoring by a doctor for kidney in Delhi and regular blood tests for 1 to 2 months.
The recovery period is approximately 6 months. Often, the best nephrologist in Delhi will ask you to stay near the hospital for the first 3 months. You will need regular check-ups with blood tests and x-rays for many years.
Expectations (prognosis)
Almost everyone feels that they have a better quality of life after transplant. Those who receive a kidney from a living related donor have a better prognosis than those who receive it from a deceased donor. If you donate a kidney, very often you can live safely and without complications with the remaining kidney.
People who receive a transplanted kidney may reject the new organ. This means that your immune system sees the new kidney as a foreign substance and tries to destroy it.
In order to avoid rejection, almost all kidney transplant recipients have to take medications that suppress the immune response for the rest of their lives. This is called immunosuppressive therapy. Although treatment helps prevent rejection of the organ, it also puts patients at increased risk of infection and cancer. If you take this medicine, you need to get cancer screenings. Medications can also cause high blood pressure and high cholesterol and increase the risk of diabetes.
A successful kidney transplant requires careful monitoring with your kidney transplant surgeon in Ghaziabad and you must always take your medication according to the instructions.
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