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Kidneys play an important role in filtering out waste products and excess water from the blood. When they get damaged and lose their filtering ability, harmful levels of fluid and waste accumulate in the body, leading to kidney failure. For end-stage renal disease, Kidney Transplantation is the only solution. A Kidney Transplant is a surgical procedure for replacing a failing kidney that no longer functions with a healthy one from a donor. The donor may be a living person or deceased. Family and friends are generally the living kidney donors. Candidates for Kidney Transplants undergo thorough evaluations to ensure compatibility and overall health.
Manipal Hospitals, Mukundapur, Organ Transplant Department is a centre of excellence with high success rates in Kidney Transplants, especially in patients with multiple health problems. Our team of highly skilled transplant surgeons collaborates with other specialists to provide the best treatment outcomes. They employ state-of-the-art facilities and a patient-centric approach to successfully treating complex Kidney Transplant cases by minimising complications and improving patients' lives. Post-transplant care is critical, which includes lifelong immunosuppressive medications to prevent rejection, regular monitoring, and lifestyle adjustments. While the procedure significantly enhances quality of life and life expectancy, it carries various risks, such as rejection, infection, and increased susceptibility to cardiovascular disease and cancer. Despite these challenges, Kidney Transplants boast high success rates, and ongoing advancements in medical science are continually improving outcomes. Ethical considerations surrounding organ donation and equitable access remain important aspects of the transplant process.
A Kidney Transplant becomes a necessity under the following conditions:
Chronic Kidney Disease: In advanced stages (stages 4 and 5), where the kidney functions at less than 15% of its normal capacity.
End-stage Renal Disease: The kidney loses 90% of its capacity, and dialysis is no longer helpful.
Acute Kidney Injury: When the kidney function deteriorates and is irreversible.
Inherited Conditions: Such as Alport syndrome or polycystic kidney disease.
Congenital defects of the kidney
Conditions that lead to end-stage renal disease or kidney failure, such as diabetes, high blood pressure, immune system diseases, repeated urinary infections, and others.
Every hospital or transplant centre has its own eligibility criteria for accepting people for Kidney Transplants. A thorough medical evaluation of the candidate is carried out. To be eligible for a Kidney Transplant, you must be:
The first task is to choose the Kidney Transplant centre or hospital for the procedure.
A thorough evaluation will be done to check your eligibility based on your overall health, medical history, willingness, and other factors.
Evaluation also includes a physical exam, imaging studies, blood tests, psychological evaluations, and other tests specified by your doctor.
The evaluation results will be discussed, and based on your eligibility, you may be accepted or rejected for the transplant.
The next step is to find a suitable matching donor kidney for the procedure.
Once found, all the necessary tests will be done on the donated kidney to check its suitability for your body.
The kidney may be taken from a living member of your family. If a compatible living donor isn’t available, then your name will be placed on the waiting list.
Make sure to keep yourself healthy and ready for the procedure by taking all the precautions given by your doctor.
Once the donor's kidney is available (living or deceased), you will be called for the procedure.
Based on your medical condition, the transplant surgeon may ask for some specific preparations to be done before the surgery.
You will be asked to change into a hospital gown, and an IV line will be inserted.
You will receive general anaesthesia before starting the procedure, and your vitals will be monitored.
The surgeon will make an incision in the lower right or left side of the abdomen, and a new, healthy kidney will be placed in the body.
The blood vessels of the new kidney are then surgically attached to the nearby blood vessels.
The new kidney's ureter is connected to the bladder to allow urine to pass through the body freely.
In most cases, your original kidney will not be replaced unless it is causing any complications, such as high blood pressure, kidney stones, pain, or infection.
The procedure takes 2-4 hours to complete.
You will need to spend about three days in the hospital after a Kidney Transplant for close monitoring and to ensure a proper recovery.
The transplanted kidney may start working immediately, but in some cases, you might need temporary dialysis until the kidney begins to function, which could take several days or weeks.
After the transplant, you will need to start taking medications to prevent the immune system from rejecting the new kidney.
Once all goes well, you will be discharged with post-operative instructions, dietary guidelines, a list of medications to take, and details of follow-up checkups.
Patients for whom Kidney Transplants are the only and best option other than dialysis. It offers various benefits, such as:
Just like any other surgery, a Kidney Transplant also comes with its own risks and complications, such as:
Follow all the post-operative instructions given by the doctor. Here are some points to consider:
Avoid lifting anything heavy or doing strenuous physical work for at least 6–8 weeks
Avoid driving for at least 6 weeks
Start stretching exercises, as recommended by your doctor
Avoid contact sports
Stay hydrated
Don’t eat raw or undercooked foods, and avoid grapefruit
Take enough protein and a well-balanced diet for better healing
Avoid certain vitamins and supplements as instructed
Maintain a low-salt and low-fat diet
Keep taking medications on time, as prescribed
If you experience any complications, seek immediate consultation from our transplant surgeons.
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