Renal transplant or Kidney transplant, as it is commonly known, refers to the transfer of kidney from a healthy person to a patient whose kidneys have lost the capability of performing the essential process of filtration. There are two types of kidney transplantation: deceased-donor and living-donor. Among these, living-donor transplantation can be further sub categorized as related and non-related kidney transplants.
Who is eligible for Kidney Transplant?
At Manipal hospitals, anyone who is identified with kidney or renal failure is eligible for kidney transplant. Stage 4 is the highest level (the near end-stage) of a kidney patient. Diabetic people whose average insulin requirement per day is more than 1 unit/kg of their body weight and obese people with a BMI of greater than 30 with renal complications are also eligible to undergo kidney transplantation at Manipal hospitals.
What are the benefits?
A successful kidney or renal transplant at Manipal hospitals gives the patient a greater stamina, strength and energy and helps restores his or her life back to normal. People who were on dialysis prior to kidney transplantation will be able to enjoy a greater level of freedom and comfort post kidney transplant. Moreover renal transplantation helps stabilize anemia and blood pressure to a great extent.
The kidney transplant procedure at Manipal hospitals entails replacing a patient's damaged kidney by a donor's healthy kidney. The healthy kidney in placed on either the left or right side of the patient's abdomen depending on the requirements. Our doctors then connect the kidneys to the neighboring blood vessels by means of surgical procedures. The right placement of kidney ensures smooth functioning of the urinary bladder and the nearby blood vessels. Also the veins and arteries are connected appropriately via surgical procedures. The old kidney is removed only when it's overly damaged. If it's able to perform atleast 20% of its functions, it will be retained.
Here at Manipal hospitals, we take the patient through a detailed medical evaluation which involves a thorough physical examination, EKG, and an X-ray of the chest. Blood tests are to be done for Anemia and to determine if there is any existence of viral diseases like AIDS or hepatitis. In addition to these, the patient will also be tested for cardiac problems and cancer diseases.
Pre surgery requirements
Our doctors evaluate the test reports of all the aforementioned tests and assess the patient's body conditions. Not only that The donor (the person who donates his or her kidney) will also be required to take up most of the aforementioned tests. We match the test results and see if the donor's kidney will suit the recipient or not. Other requirements that will be looked into involve the age and blood group of the donor and the recipient.
Once the kidney transplant is accomplished, the patient will be shifted to the ICU where he or she will be under intense care for about 1-2 weeks. Upon recovery, the patient will be discharged from the hospital. We will prescribe drugs and natural diet for the next few weeks or months to ensure that patient's immunity strengthens post surgery. Also follow-ups visits to our kidney transplant department will be required.
There are various packages to choose from. To get the exact details of the kidney transplant charges or packages we suggest you schedule an appointment with our expert kidney transplant doctors.
Local Legal Requirements
It's important that the donor and recipient understand the risks and benefits involved in kidney transplant. Our doctors advice them on the right procedures that are to be followed during the entire kidney transplant process. The donor and recipients are required to sign an agreement; ˜Organ transplant agreement, which is formulated by the Government of India. All the rules and regulations will be given in detail on the agreement. And our doctors are available to clear all your queries regarding the same.
One brochure on basic contents about kidney transplant has been shared in hard copy
What happens during a Swap Transplant? - Dr. Vishwanath. S
Description:Basically during a Swap transplant, is something similar to a regular transplant. All the tests and work up what we do for a regular transplant will be done the only issue here is the person who is supposed to give a kidney will give it to the opposite family. One person’s mother will give it to the other person’s son or husband. One person’s wife or husband will give it to the other person’s husband or wife or the son.so basically all the tests will be the same, they will go to the committee for permission. Once the committee gives permission, there will be exchange of kidney’s between the families and once the committee permission is given, they have to undergo transplant the same day. So if we have swapping between two families, then same day, same time we have to do the surgeries.
Elaborate on investigations required before planning a Kidney Swap - Dr. Vishwanath. S
Description:Blood test include something like your health check where we ensure not only kidney but the other organs are also okay so that there is no risk of donation. Other test include battery of investigations like chest x-ray , scan of the kidneys, scan of the abdomen, CT scan and also to look at the individual kidney fiction so that even after removal of one kidney, the other kidney is also functional. So there are series of investigation, basically to start with a series of investigations. Later part when everything is done, there will be an extensive investigation including your CT scan. In between once the tests are okay, there is matching of blood groups and matching of the lymphocyte cross match, where we see the tissue is matching so that there is no risk of rejection after transplant.
What is the duration of recovery after Kidney Swap? - Dr. Vishwanath. S
Description:After kidney swap it is like a regular transplant, the first 3 months, a little isolation is needed, they will not be able to go to work for atleast 2months and from 2 months, they can work from home and after 3 months, they can go to their office and get back to their work on a regular basis.
What are chances of rejection in Kidney Swap? - Dr. Vishwanath. S
Description:The chances of rejection in kidney swap is something similar to any other live transplant. Basically the rejection rates as of now for a regular transplant all over the world is around 8 to12%. Swap transplant is also the same. There is no increased risk of rejection in a Swap transplant. It is the same as a regular transplant.
Post operative care in individuals going for Kidney Swap - Dr. Vishwanath. S
Description:Post-operative care for Swap transplant is something which is similar to regular transplant where initially immediately after surgery ,they will be in the hospital for a week or10 days. Once they are well, we send them home. After that first 3 months, we have to be in isolation so that the risk of infection and catching the infection is less. Initially after discharge from 10th days, we see the more frequently,2 days, twice a week, thrice a week etc. The basic thing is to keep the clean, avoid infections, and take medicines as per it is told. That is the basic post-operative care. For the regular transplant and Swap transplant is also the same
How do Swap Transplant save lives? - Dr. Vishwanath. S
Description:Suppose somebody as a donor available but cannot do transplant, then they can never have a transplant because of non-matching of the kidney groups or basically blood groups. So they can never have transplant, they have to be on dialysis for lifelong. In Swap transplant, we are able to exchange donors. They will have a chance of getting transplant done. Anybody who is on dialysis, transplantation is a good for quality of life and also for longevity of the patient. Suppose somebody has transplant, their life is much less on dialysis. Life is almost near normal when they go for transplant. So if somebody has a Swap transplant, so their longevity definitely increases because they have a transplant and they have a normal life.
When is a Kidney Transplant Swap performed? - Dr. Vishwanath. S
Description:48-year-old Umesh Dedhia generally towers over most people. Over six feet tall, this shopkeeper from south-central Mumbai is all smiles sitting in the crowded waiting area of Nephrologist Dr Viswanath Billa's consultancy at Shushrut hospital in Chembur. "I have got a new lease of life," he tells with a big grin. "I could not have taken another day of Dialysis." Dedhia is a father of three. His world came crashing down when three years ago both his kidneys failed.
Is it possible to do Kidney Swap in cases of incompatible blood types? - Dr. Vishwanath. S
Description:Yes, we can do incompatible blood type of transplant. this is called as ABO transplant, where we try to change the blood groups and do it but this is a little extensive procedure where we may have to do Plasmapheresis, remove some antibodies which can react later and give them some more extra immunosuppression than a regular immunosuppression. There is a risk of a cross group or an incompatible transplant is a little higher than a Swap transplant.
Do you need to have the same blood type to donate a Kidney? - Dr. Vishwanath. S
Description:Yes, by rule, they should have the same blood group. Something similar to blood donation. Something like a person with an A blood group can receive from a person A or O. O can give to any group person. AB can receive from anybody else. Other groups same group they can receive. B group means B or O they can receive.
What is a Kidney Swap? - Dr. Vishwanath. S
Description: Kidney swap is exchange of kidneys between people who are not matching. Suppose somebody has A group positive and is on dialysis and he has a person who can donate in his family with B group we cannot do this transplant. There we can exchange with other families with opposite blood groups. B to A. AB and BA can be exchanged. This is called as swap. Basically they are swapping the kidneys between two families. That is called as kidney swap transplant.