Kidney Transplant

A kidney transplant is the transfer of a healthy kidney from one person into the body of a person who has little or no kidney function. Kidney can be taken from a brain dead donor or a living donor. A normal healthy kidney’s function is to filter waste product and convert them into urine, release several regulating blood pressure by releasing several hormones and Stimulation of production of red blood cells by releasing the hormone erythropoietin. When the kidneys stop working, renal failure occurs. If this renal failure continues (chronically), end-stage renal disease results, with accumulation of toxic waste products in the body. In this case, either dialysis or transplantation is required.After Kidney Transplant there are fewer limits on what you can eat and drink, but you should follow a heart-healthy diet. In fact, a successful kidney transplant may allow you to live the kind of life you were living before you got kidney disease. Studies show that people with kidney transplants live longer than those who remain on dialysis.

SOURCES OF KIDNEY TRANSPLANT:
LIVING DONOR – The surgical procedure to remove a kidney from a living donor is called a Nephrectomy.The donor must be in excellent health, well informed about transplantation, and able to give informed consent. Any healthy person can donate a kidney safely.
DECEASED DONOR– A deceased donor kidney comes from a person who has suffered brain death. The Uniform Anatomical Gift Act allows everyone to consent to organ donation for transplantation at the time of death and allows families to provide such permission as well. After permission for donation is granted, the kidneys are removed and stored until a recipient has been selected.
TREARTMENTS OF KIDNEY AVAVILABLE IN INDIA

• Kidney Transplantation

• Dialysis – Dialysis substitutes the natural work of the kidneys, so it is also known as renal replacement therapy (RRT). Dialysis prevents the waste products in the blood from reaching hazardous levels. It can also remove toxins or drugs from the blood in an emergency setting. There are different types of dialysis:
• Intermittent hemodialysis– In this the blood circulates outside the body of the patient. It goes through a machine with special filters.The blood comes out of the patient through a flexible tube known as a catheter. The tube is inserted into the vein. Like the kidneys, the filters remove the waste products from the blood. The filtered blood then returns to the patient through another catheter. The system works like an artificial kidney.
• Peritoneal dialysis – In peritoneal dialysis, a sterile dialysate solution, rich in minerals and glucose, is run through a tube into the peritoneal cavity, the abdominal body cavity that surrounds the intestine. It has a semi-permeable membrane, the peritoneal membrane. Peritoneal dialysis uses the natural filtering ability of the peritoneum, the internal lining of the abdomen, to filter waste products from the blood. The dialysate is left in the peritoneal cavity for some time, so that it can absorb waste products. Then it is drained out through a tube and discarded.
• Continuous renal replacement therapies – While a session of intermittent dialysis lasts for up to 6 hours, continuous renal replacement therapies (CRRT) are designed for 24-hour use in an intensive care unit (ICU).
• Conservative or Supportive Care – This includes interventions to delay progression of kidney disease and minimize complications as well as detailed communication, shared decision making, advance care planning, and psychologic and family support. It does not include dialysis.
• Acute Kidney Failure – Acute kidney failure happens when your kidneys suddenly lose the ability to eliminate excess salts, fluids, and waste materials from the blood. This elimination is the core of your kidneys’ main function. Body fluids can rise to dangerous levels when kidneys lose their filtering ability. The condition will also cause electrolytes and waste material to accumulate in your body, which can also be life-threatening.
• Fistula – A fistula is an abnormal connection or passageway that connects two organs or vessels that do not usually connect. They can develop anywhere between an intestine and the skin, between the vagina and the rectum, and other places.
• Lithotripsy – Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in other organs, such as your gallbladder or liver. Lithotripsy uses sound waves to break up large kidney stones into smaller pieces. These sound waves are also called high-energy shock waves. The most common form of lithotripsy is extracorporeal shock wave lithotripsy (ESWL).
• Tunnel Surgery/Percutaneous Nephrolithotomy – In percutaneous nephrolithotomy or nephrolithotripsy, the surgeon makes a small incision in your back to remove kidney stones and then puts a hollow tube into your kidney and a probe through the tube. The surgeon removes the stone through the tube. In nephrolithotripsy, your doctor breaks the stone up and then removes the fragments of the stone through the tube.
• Graft
• Chronic Kidney Disease – Chronic kidney disease is a slow progressive loss of kidney function over a period of several years. Eventually, the patient has permanent kidney failure.
• Catheter
• Medication
• Ureteroscopy

FACILITIES AVAILABLE IN INDIAN HOSPITALS

• Robot assisted and Laparoscopic Donor Nephrectomy
• Hi Tech Intensive Care Unit
• Latest & Advanced Dialysis Machines
• Live and Related Donor Kidney / Renal Transplant
• Hemodialysis and Plasmapheresis
• Treatment of Acute and Chronic Collagen Disorders Involving Kidneys
• Facility for CRRT (Continuous Renal Replacement Therapy) for critically ill patients requiring dialysis
• Continuous Ambulatory Peritoneal Dialysis Unit (CAPD). This form of dialysis for chronic renal failure can be done easily at home and does not require any machine. Patients are trained in ambulatory peritoneal dialysis in the department
• NABH accredited
• Ultra Modern Laminar
• Full range of Pathological services
• Round the clock attention