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When a patient's kidneys cannot filter and remove waste, kidney transplants are performed. The buildup of this waste can increase pressure and result in kidney failure. Often, people receiving kidney transplants receive only one and receiving two kidneys is rare. Kidney transplants are an option for those with end-stage renal disease.
Procedure type
Surgical procedure
Speciality
Renal Transplant
Alternate Names
Renal transplant
Body Location
Kidneys
Additional Types
Kidney Transplants are of 2 Types:
- Transplantation from a live donor- This can be a patient's family members and relatives who wish to donate a kidney. The donor's health should be excellent. They have to be well informed about the procedure and should be able to consent to it.
- Deceased donor transplant- The kidneys are donated by a recently deceased person or someone considered "brain dead". It is also called a cadaver donor transplant. It can also come from someone who chose to donate their organs when they passed away (non-heart deceased donor).
What are the Indications of a Kidney Transplant?
A kidney transplant is recommended for individuals with kidney failure or end-stage renal disease (ESRD). This can occur due to factors like:
- Chronic kidney disease refers to the gradual loss of kidney function over time due to various factors like high blood pressure, diabetes, and certain genetic conditions.
- Polycystic kidney disease, a genetic condition in which cysts form in the kidneys and gradually replace healthy tissue. It can lead to kidney failure.
- Glomerulonephritis: Glomeruli are the small blood vessels in the kidneys that filter help waste and excess fluids. Glomerulonephritis refers to a group of diseases that damage the glomeruli.
- Lupus nephritis, an autoimmune condition in which the body's immune system attacks the kidneys, leading to kidney damage and eventually kidney failure.
- Congenital conditions: Birth defects that affect the kidneys, such as kidney dysplasia, which is when one or both kidneys fail to develop properly.
How is Kidney Transplant Surgery Performed?
- The patient is administered general anaesthesia through an IV line.
- The surgeon makes an incision on the side of the abdomen and places the kidney inside
- The donated kidney's arteries, veins, and ureter are attached to the recipient's arteries, veins, and ureter.
- Once blood flow has started, the incision is closed with staples and sutures.
- A drain is placed to help with swelling, and a final bandage or dressing is applied.
Preparation for Kidney Transplant Surgery
- A match must be established between the donor and recipient by lab and diagnostic tests before the transplant.
- If the donation is from a living person, the transplant is scheduled at a certain time.
- Don't drink or eat for 8 hours at least or the night before the surgery.
- If the donor's kidney is a cadaver transplant, the patient is informed about the duration of fasting when a kidney is available.
- The doctors will provide all the necessary details.
Risks Factors Associated with Kidney Transplant Surgery
The risks of a kidney transplant are:
- Reaction to anaesthesia
- Infections
- Rejection or failure of the donated kidney
- Blood clots
- Leaking or blocked ureter (the tube that connects the kidneys and the urinary bladder)
- Heart attack, stroke or death
Recovery after Kidney Transplant Surgery
- The recovery time of a kidney transplant is about 6-8 weeks.
- Anti-rejection medications are necessary for the donor for the rest of their life.
- Light exercising like walking and stretching is encouraged, but playing contact sports and performing strenuous activities like weightlifting and driving are not encouraged.
- Drinking alcohol and smoking are not permitted.
Followup
A patient may need to follow up for a few weeks post-surgery to ensure there are no complications. The kidneys need to be monitored regularly.
Review
Reviewed By Dr. Waheed Zaman, Director - Urology & Renal Transplantation, Robotic Surgery on 30 May 2024.