Some patients with kidney failure can receive a kidney transplant. This involves undergoing surgery whereby a healthy kidney from another person is placed in the patient’s body. The new kidney goes on to fulfill the function fulfilled by the two damaged kidneys. The donated organ can come from a stranger who has recently died or from a living person, such as a relative, spouse or friend. Due to the shortage of kidneys, patients enrolled in the donor kidney waiting list may have to wait many years.
Kidney transplant in Delhi is a treatment, not a cure, for kidney failure. You will have to keep seeing your health care provider regularly. In addition, you will need to take medicines every day to ensure that your immune system does not reject the new kidney.
The success of the transplant requires the coordinated effort of your entire health team. Your team consists of the nephrologist in Delhi, the kidney transplant surgeon in Delhi, the transplant coordinator, the pharmacist, the nutritionist, and the social worker, as well as you and your family.
Not all people can have a kidney transplant. You may have a disease that makes transplant surgery dangerous or unsuccessful.
The donated kidney can come from:
- A living family donor: related to the recipient, such as a parent, a sibling or a child
- A donor unrelated to the recipient: as a friend or spouse
- 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 kidney transplant doctor in 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, surgeons 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 undergo general anaesthesia before surgery.
- The surgeon makes an incision in the lower abdominal area.
- The surgeon 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 if you have ESRD. Diabetes is the most common cause of ESRD. 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 behaviours such as smoking, alcohol or drug abuse or other risky lifestyle habits
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 centre by the best nephrologit in Delhi. 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 centres to determine which is the best for you.
- Ask the centre staff how many transplants they perform each year and what the survival rates are. Compare these numbers with those of other transplant centres.
- 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 in Delhi, 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 doctor 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 kidney specialist in Delhi and regular blood tests for 1 to 2 months.
The recovery period is approximately 6 months. Often, the transplant team 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.
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 top nephrologist in Delhi and you must always take your medication according to the instructions.