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Kidney transplantation- a major surgical procedure for diseased kidney

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Kidney Transplantation

A kidney transplant is a surgical procedure for replacing non-functional kidney in a person’s body from another person’s body alive or deceased. The procedure is performed, when both the kidneys in a person’s body fail to function and the patient becomes dependent on dialysis for removing wastes and other substances from the blood. The kidney can be donated from a live donor or deceased donor; and families , individuals who are unrelated may make a good match for donation kidney.

A person who receives a transplant usually receives one, if received from a living donor is called a living transplant and the person donating can well suffice with one kidney. A person receiving a transplant usually receives one but in some cases may receive both the kidneys from a deceased donor. During transplant procedure, the diseased kidneys are left in place, and the transplanted kidney is implanted in the lower abdomen of the front side of the body.

A kidney transplant is usually performed on individuals with end stage renal disease (ESRD), a permanent condition of kidney failure and the body depend on dialysis for removing waste and other substances from the blood. Some conditions of the kidneys which may be a cause of ESRD are; repeated urinary infection, kidney failure caused by diabetes or blood pressure, some inherited disorders such as polycystic disease, Hemolytic uremic conditions which in rare cases causes ESRD, Lupus and other diseases of the immune system, and Obstructions. Some congenital defects of the kidneys may also be a reason for kidney transplant also.

As with any other procedure; there are risks, complications associated with kidney transplant in Pune which could be infection, bleeding, blockage of the blood vessel which connects the kidney, leakage or blockage of urine in the ureter, and kidney may also fail to function initially. There are high chances of body treating the newly implanted kidney as foreign body and not accepting easily. This may be in the form of current, or recurrent infection which cannot be treated effectively, spread of cancer from one location in the body to additional locations, severe cardiac or other medical conditions which do not accept the procedure, other serious conditions which do not improve after transplantation.

The person who undergoes transplant, has to be evaluated for Psychological and social evaluation – which includes psychological and social issues with organ transplant such as stress, financial concern, and support from family and other members is considered. The same evaluation is performed for the living donor as well. Blood Tests are performed for good compatibility of donor match, and for assessing priority on the donor list. Other diagnostic tests are performed to assess condition of the kidneys such as X-rays, ultrasound procedures, kidney biopsy and dental examinations. The transplant team thoroughly studies medical history, physical examination and diagnostic tests before deciding upon a transplant. Jehangir Hospital one of the oldest in the western region of India provides quality health care with commitment and distinction.

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