4shared
  • Font Size
  • A 
  • A 
  • A

Overview

At Jaypee Hospital, We have state of art OT and renal transplant ICU equipped with latest armamentarium and very skilled and experienced kidney transplant surgical team. We also offer successful transplant in ABO incomparable case, difficult vascular anatomy, and pediatric and second ( earlier failed) transplantation. There is isolation facility for Haemodialysis of Hepatitis B & C Patients.

Facilities

We offer the most advanced post transplant nephrology care by team of experts. We have experienced team of transplant surgeon and all patients are assured of personal care throughout the treatment.

Services

The department has the expertise to provide the latest in Kidney Transplant Programme. A dedicated state of art operation theatre backed by transplant ICU provides high quality care to the Kidney Transplant patients. We have a dedicated well trained transplant co-ordinator who is not only available to support the family during medical evaluation of recipient and donor but also help in meeting all legal requirements of the State concerned.

Renal transplantation at Jaypee Hospital
In a person with permanent kidney failure (End Stage Renal Disease), kidney transplantation is the best treatment option that allows him to live much like a normal person. A successful transplant takes a coordinated effort from the health care team which includes nephrologist, transplant surgeon, transplant coordinator, and dietitian. But the most important members are the patient and his family. By learning about the treatment, one can work along with the health care team to give the best possible results and the patient can lead a full, active life.
Healthy kidneys clean the blood by removing excess fluid and wastes. They also make hormones that stimulate formation of red blood cells. When the kidneys fail, harmful wastes build up inside the body and the body may retain excess fluid and not make enough red blood cells.

Kidney transplantation is a procedure that places a healthy kidney from another person into the patient’s body. This new kidney takes over the work of the two failed kidneys.

The transplantation process begins when the patient understands that his kidneys are failing and now he must start to consider the treatment options like maintainence dialysis or kidney transplantation. The healthcare team thoroughly evaluates the patient and then tells about his fitness for successful transplantation.
The patient medical evaluation is primarily done by the nephrologist and if found fit for transplantation, a detailed workup for transplantation is started. The patient blood is tested for blood type and other matching factors to determine whether the body will accept an available kidney. The medical team along with surgical and anaesthesia team also evaluates to see whether the patient is healthy enough to undergo the surgery. Cancer, a serious infection, or significant cardiovascular disease would make transplantation unlikely to succeed. At each step of evaluation the team will want to make sure that the patient can understand the process and follow the schedule for taking medicines.

Kidney Recipient Evaluation
Suitability for kidney transplantation is basically depends on two factors:

Blood group The recipient blood group (A, B, AB, or O) must be compatible with the donor’s blood group.
HLA factors HLA stands for human leukocyte antigen, a genetic marker located on the surface of white blood cells. Every individual inherit a set of three antigens from the mother and three from the father. A higher number of matching antigens increases the chance for the transplanted new kidney to last for a long time.
If one is selected on the basis of the first two factors, a third is evaluated:
Antibodies A person immune system may produce antibodies that act specifically against antigen in the donor’s tissues. To see whether this is the case, a small sample of recipient blood is mixed with a small sample of the donor’s blood in a tube. If no reaction occurs, this is described as negative cross-match. This suggests that one will be able to accept the particular donor kidney.

Donor Evaluation
Potential donor needs to be tested to make sure that donating a kidney will not endanger his health. First degree relative as a donor is always preferred over unrelated donor because of better match and improved success rate. Most people can donate a kidney with little risk. The donor undergoes a set of investigation which determines his medical fitness and vascular anatomy of the kidney.

In the living donor kidney transplantation, the operation is scheduled in advance. The recipient and the donor are operated on at the same time, usually in side-by-side operation theatre. One team of surgeons performs the donor nephrectomy that is the removal of the kidney from the donor, while another prepares the recipient pelvic vessels for placement of the donated kidney.
The recipient is given general anesthesia and the surgery takes 3 or 4 hours. The surgeon makes a small cut in the lower abdomen. The artery and vein from the new kidney are attached to the artery and vein of recipient. The ureter from the new kidney is connected to the urinary bladder.
Most of the time, the new kidney will start making urine as soon as the blood starts flowing through it, but sometimes it may take few days to attain full function.
Most of the transplant recipients start feeling much better soon after surgery. The recipient need to stay in the hospital for about a week to recover from surgery.
A person body’s immune system is designed to keep him healthy by sensing “foreign invaders,” such as bacteria, and rejecting them. So the immune system will also sense this new kidney as foreign. To prevent the body from rejecting new kidney, the recipient has to take two or more of immunosuppressant medicines, as well as medications to treat other health problems. The health care team helps to learn what each pill is for and when to take it. The patient should clearly understand the instructions for taking the medicines before discharge from the hospital.

 

Translate »