When the kidneys are completely failed patient has two options lifelong dialysis or a kidney transplant.
Kidney transplant is better than dialysis in terms of quality of life, patient survival,
morbidities, and cost as long term.
There are two forms of a kidney transplant.
- Live related kidney transplant
- Deceased donor kidney transplant
The outcome of live related kidney transplant is slightly better than a deceased donor kidney transplant.
Then in case of live related kidney transplant family donor is required whether blood relation or no blood relations. The blood-related donor can be patient siblings, parents, grandparents, and children.
Non-blood related donor can be spouse, any close relation of the spouse. Kidney transplant can be blood group matching (ABO compatible) or blood group mismatch (ABO incompatible).
After we have finalized the donor. We need to check the medical fitness of the donor. So, the donor undergoes various investigations of blood ultrasound, urine, CT scan, renal DTPA.
Side by side the legal formalities are to be done by the transplant coordinator and after the completion of medical and legal formalities
The legal committee will cross-check the legal papers and files and confirm the relation. Finally, after passing through the patient and donor are admitted for kidney transplantation.
Kidney transplant surgery
After clearances from the legal committee, pre-anesthetic checkup, and nephrologist, patient and donor are hospitalized for surgery.
In the surgery, one kidney is taken out from the donor and it is transplanted to the patient. The commonplaces of the placement of the kidney are right lower abdomen or left lower abdomen.
The patient is usually is stay in the hospital for the next 7-8 days and donor for the next 5-6 days.