| Transplant Operation |
Interesting Fact:
After kidney transplants, most recipients have three kidneys because their own kidneys are usually left in place.
Note : Exceptions where patient's own kidney is removed
- Chronic kidney infection
- Infected stones
- Heavy loss of protein in the urine
- Uncontrolled blood pressure
- Polycystic kidney disease (when the kidneys are massive)
- Acquired renal cystic disease (when there is suspicion of cancer)Infected reflux
Living donor transplantation:
The surgery usually takes four hours. In case of living donor transplant, the surgery on the donor and the patient (recipient) is conducted simultaneously in adjoining theatres. The recipient is operated under general anesthesia. In the lower abdomen a space is created for implantation of the new kidney (the recipient's original kidneys are left as they are). The donor's kidney is then removed with its blood vessels, put in the new space created in the recipient and the donor's blood vessels connected with that of the patient (recipient). The ureter of the new kidney is connected to the bladder. Often the kidney beings to function immediately. However the new kidney may not begin to function immediately after the transplant. In that case temporary dialysis support may be required. Once the kidney starts functioning, dialysis is stopped.
Deceased donor (cadaver) kidney transplantation:
In deceased donor transplantation, the kidneys and other organs are retrieved soon after the person is pronounced brain-dead and consent is obtained from the family. The kidney can be persevered in ice up to 48 hours. Suitable recipients are identified and called to the hospital for transplantation. The surgery on the recipient is same as for living donor transplant. However, the kidney may not function immediately. This is because the kidney, having remained without blood supply sustains injury, which is usually reversible. This phase lasts for a few days during which dialysis support may be required. |
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