Renal Transplant and Dialysis Access Service

Facilities and Expertise available

• Renal transplantation in adults and children
• Laparoscopic / Open live donor nephrectomy
• Vascular Access procedures for hemodialysis
• Continuous Ambulatory Peritoneal Dialysis

Short waiting period
A renal failure patient can be transplanted within two to three weeks of walking into the hospital if the accompanied donor is approved by the government appointed authorization committee (see who can be a renal donor?)

Pediatric Renal Transplant : Pediatric nephrology and advanced pediatric centre have very senior pediatric Nephrologists and transplant surgeons  to offer transplantation to a very small babies.

Re-transplantation :  2nd and 3rd transplant are also accepted if the donor is available .Our selected hospital  team is very well equipped and trained to do such operation.

Who can be a renal organ donor?
Many people decide to become organ donors when they die. But people can also donate certain organs (such as a kidney or portion of a liver) while they are still living. These people are called "living donors." You do not have to be related to the donor to receive an organ. Close blood relatives may be a better match, but this is not always the case. Organ donors and recipients are matched through blood work and other tests that show the likelihood that your body will accept or reject the donated organ. The closer your blood and tissue types are to the donor's, the more likely your body will accept the new organ.

How do I prepare for an organ transplant?
Transplantation can be a long and challenging process. The thought of having an organ transplant may be frightening or overwhelming, but a transplant can greatly improve your quality of life.
First, you'll need to have blood and tissue tests done that will be used to match you with a donor. The more matches you have with the donor, the more likely your body will accept the donor organ.

How Donor kidney is removed?
There are two ways to remove kidney from a donor- Open donor nephrectomy and Laparoscopic donor nephrectomy.

The advantage of laparoscopic donor nephrectomy is less pain, short hospital stay (3-4 days) and early return to work. The kidney retrieval incision (6 cm) is not visible as it is placed over the pubic hair.

Authorization Committee: It is a committee of several members appointed by the government for scrutinizing all the living donors and recipients to give the approval for surgery. No organ transplant can be performed without prior approval of the authorization committee. The objective of the committee is to ensure that living donor transplants are performed as per Transplantation of Human Organs Act and Rules 1994 and subsequent amendments made there under.

Causes of End Stage Renal Disease :
End stage renal disease (ESRD) is reached when renal function is reduced to about 10% of the normal level and the patient is showing signs and symptoms of uremia. A wide variety of conditions can result in ESRD. Chronic Glomerulonephritis, Diabetes, Hypertension, and Cystic renal disease are the most common causes of ESRD.

Treatment Options in Renal Failure:
When one has developed end stage renal failure, three options are available:

• Renal transplantation
• Hemodialysis
• Peritoneal dialysis.

Renal transplantation is the best modality of treatment as a successful renal transplant provides a better quality of life, is more cost effective and provides long term rehabilitation as compared to dialysis dependence. After a successful transplant one has greater freedom, less restricted diet and better energy levels.

Vascular Access and Peritoneal Dialysis Catheters :
Surgery to provide vascular access for dialysis is carried out either by the transplant team or by the vascular surgical team. AV Fistula, Perma catheter, interposition grafting, IJ catheters and Peritoneal Dialysis catheters are performed routinely.

How successful is organ transplant?
Organ transplants techniques are continually evolving and is more successful today than ever before. Even though your body's immune system may try to reject the donor organ, advances in medicines have dramatically reduced the threat of rejection.
The long-term success rates for organ transplants vary by the type of organ transplanted, by the number of organs transplanted at the same time (such as heart/lung transplants), and by the type of disease that caused the organ to fail. Generally, success rates for single-organ transplants average 80% or higher.
The highest success rate is for kidney transplantation, which has a 5-year survival rate of about 80% to 90%.

What can I expect afterwards?
You will need to take daily medicines to prevent your immune system from rejecting the new organ after a transplant. Because the body naturally seeks to destroy foreign substances, medicines are used to "trick" the immune system into accepting the new organ.

The number of medicines you'll need over the years will vary. Usually, more anti rejection medicines are needed within the weeks and months immediately following your transplant than in the months and years to follow.
You may need to make some lifestyle changes to keep your new organ healthy and strong. This may include eating healthy foods, getting regular exercise, getting enough sleep, and staying away from large crowds or people who are sick.

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