Kidney Transplant

Done to treat kidney failure (end-stage kidney disease), a condition in which your kidneys can {unction at only a fraction of normal capacity. People with end-stage kidney disease need either have waste removed from their bloodstream (dialysis) or a kidney transplant.

A surgical procedure to place a kidney from a live or deceased donor in a person whose kidneys no longer function properly. Your kidneys remove excess fluid and waste from your blood. When your kidneys lose their filtering ability; dangerous levels of fluid and waste accumulate in your body — a condition known as kidney failure or end-stage kidney disease„ A kidney transplant is often the best treatment for kidney failure. Only one donated kidney is. needed to replace two failed kidneys, making living-donor kidney transplantation an option. If a compatible living donor isn’t’ available for a kidney transplant, your name may be placed on a kidney transplant waiting list to receive a kidney from a deceased donor. The wait is usually a few years.

FAQs

Patients of Chronic Kidney Disease stage 5, who are found suitable after appropriate evaluation and counseling by nephrologist can undergo kidney transplant.

No, these patients have Chronic Kidney disease and are usually on dialysis. They have multiple medical issues like anemia, bone disease, fluid overload, cardiac problems and infections. Hence they are different from other routine surgical patients.

The nephrologist plays a key role before a kidney transplant. He does the medical works up of the transplant recipient. He also manages and optimizes his medical therapy and dialysis so that he is fit to withstand surgery, He decides depending on the medical needs which immune-suppressive protocol will be best suited for the patient. He also evaluates the donor to look for pre-existing medical problems and assesses his fitness for kidney donation. In the immediate post-transplant period (once the surgery is over), the nephrologist manages the medications, the fluid and electrolyte balance, blood pressure and optimizes the immunosuppressive medications to establish proper transplant kidney function. After discharge, the nephrologist continues to follow these patients to monitor for rejection, infections and other medical problems. He also administers the immune-suppressive medications from time to time, person to person, and not entirely predictable, but modern medications and improved anesthetic techniques have brought good control of pain and discomfort after surgery.

The transplant surgeon evaluates the patient and donor for surgical fitness. He proceeds with the transplant surgery once the patient and the donor are declared medically fit. In the immediate post-surgical period he monitors the patients for any immediate surgical complications. He also removes the stent around the 2-3 weeks post-transplant period if the patient continues to be stable and monitors and manages any subsequent transplant surgery-related surgical problem.

Perhaps the most important role lies with the transplant patient himself. He has to take meticulous care of his transplanted kidney throughout his life. The transplanted kidney can develop immunological issues; there can be any recurrence of any underlying kidney disease, Around 75% of the patients continue to have high blood pressures, a few can develop diabetes and mineral and bone disorders can persist, The transplanted kidney is also predisposed to infections and patient is predisposed to cardiovascular events. The patient has to be in constant touch with the nephrologist and follow his advice meticulously in order to prevent the above complications and maintain the health of the transplanted kidney.

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