Kidney transplants at Fortis Healthcare
Kidney Transplant is a surgical procedure which involves placing a healthy kidney from a living or deceased donor in the recipient’s body. It is a preferred treatment for chronic kidney failure compared to spending the remainder of one’s life on dialysis. Fortis Hospital is one of the best kidney transplant hospitals in India thanks to our team of highly skilled and experienced team of nephrologists and kidney transplant specialists suitably aided by our state-of-the-art infrastructure in providing world-class care and treatment for the complete spectrum of kidney diseases.
When should you opt for a kidney transplant surgery?
When a person is suffering from stage 5 chronic kidney disease, which is also known as end-stage renal disease, it implies that the person’s kidneys are irreversibly damaged and in such cases, kidney transplant is a recommended treatment option, as it offers a better quality of life and also avoids the side-effects of dialysis.
Chronic kidney disease implies damage of a permanent nature to the kidneys. It is irreversible and happens over a long period of time. This is caused due to a variety of risk factors such as:
- Type 2 diabetes in its later stages.
- Uncontrolled Hypertension: If not controlled, it is a very high risk factor for chronic kidney disease.
- Over-the-counter medications taken without.
- Family History of kidney failure and/or death due to this disease.
- Inherited conditions such as Polycystic Kidney Disease in which fluid-filled cysts form in the kidneys also impair the kidney function and eventually results in kidney failure.
The field of medicine has witnessed many scientific advancements and innovations over the past few decades, which has given rise to practice of newer techniques of treatments and surgeries. In traditional kidney transplants, the surgeons use a technique called ‘open nephrectomy’ in which large incisions are made in the side of the abdomen to remove the kidney. Laparoscopic Kidney Transplant, on the other hand, uses keyhole surgical technique in which a number of very small incisions in the range of 1-3 cm each are made and tools are inserted through them to remove the kidney. This newer technique has many advantages including a quicker recovery time, lesser blood loss and fewer complications due to the smaller size of the incisions.
What happens during a kidney transplant surgery?
Our emphasis on employing the latest techniques of surgery has made one of the best kidney transplant centers in the country. Once it is determined that a transplantation must be carried out, we diligently follow a series of steps to perform this surgery:
Step 1: Testing
Some medical tests such as blood tests, heart tests, breathing tests and if necessary, even urine tests are carried out to assess the compatibility of the blood and the tissues, and also the check for the presence of viruses such as HIV. These pre-transplantation tests also help us determine the condition of the heart and the lungs and enable us to screen for the presence of any drugs.
Step 2: Meeting with the transplant team
The transplant team consists of the transplant coordinator, a surgeon, nephrologist, a social worker and a dietitian. The transplant coordinator is the patient’s point of contact and educates him/her about the process and explains the precautions to be taken before and after the transplant. The surgeon discusses the feasibility of the kidney transplant surgery and explains the benefits, risks and complications that may arise post-transplant and also performs the actual procedure of placing the kidney in the body. The nephrologist examines the patient and oversees the patient’s condition after the surgery. The social worker helps the recipient follow a treatment plan and provides social support to the patient. The dietitian ensures the patient receives adequate nutrition before and after the transplant.
Step 3: Recovery from the surgery
After the surgery, the patient is required to stay in the hospital for several days to ensure complete recovery from the surgery. The patient is administered immunosuppressants to reduce the effectiveness of the immune system in order to facilitate a gradual acceptance of the new kidney by the host body. There might be certain side effects including weight gain, diabetes, increased susceptibility to infections etc. and therefore constant monitoring is required. However, notwithstanding the risks involved, kidney transplantation is often the best option for kidney diseases, as the long-term advantages far outweigh the risks involved.
Fortis Hospital is a renowned kidney transplant hospital in India which has the necessary resources in terms of skilled manpower and the latest medical facilities required to successfully perform such complex surgeries.
Types of Kidney Transplant
Depending on the situation, there are broadly two types of kidney transplants:
- Living donor kidney transplant: The kidney is obtained from a healthy, living donor. The donor may be an immediate or a close family member, or even a complete stranger. In this method, the kidney generally starts performing immediately after the transplant and the chances of rejection is also lesser. Biological siblings are usually the best match in this type of transplant.
- Deceased donor kidney transplant: In this type, the kidney is sourced from an individual who has recently passed away due to causes not affecting the transplant organ. There are different types of deceased donor kidneys such as Standard Criteria Donors (donor is under the age of 50), Donation after Cardiac Death and so on.
Fortis Hospital is a highly preferred centre for kidney transplant in Bangalore due to the use of minimally invasive procedure, which significantly reduces the risk of infection and other risks arising due to the transplant. We have the most comprehensive organ transplantation program, with some of the best kidney transplant surgeons in India working at our centre with a holistic approach to provide the best medical care to our patients.