Kidney Transplant

Overview

A kidney transplant is a surgical procedure to replace a failing or diseased kidney with a healthy one from a donor. It is typically considered for patients with end-stage kidney disease who are on dialysis. The procedure involves connecting the donor kidney to the patient’s blood vessels and urinary tract. Post-surgery, the patient requires lifelong immunosuppressive medications to prevent organ rejection and monitor kidney function regularly for optimal health outcomes.

Why Choose Aykai Hospital for your Kidney Transplant?

Aykai has done thousands of kidney transplants. Hospital is recognized in Punjab and Northern India for its expertise and care. Our programme is also a member of Notto (National Organ & Tissue Transplant Organization), Sotto (State Organ & Tissue Transplant Organization) and ROTTO (Regional Organ & Tissue Transplant Organization)

Aykai Hospital provides patient with world class care and emotional support throughout the entire transplant is done in most ethical way and at afforadable price.

Types of Kidney Transplant
Kidney Transplant Team
Kidney Transplant Process
Discharge Planning and Recovery
Pediatrics Programs
Services
Innovative Research
Advanced Technology

Am I a candidate for kidney transplant?

The following patient may be may be considered potential candidate for kidney transplant

Patient with end stage kidney disease on dialysis.
Patient with advanced chronic kidney disease stage 4 or 5 with estimated gfr less than 20 mill per minute.
Patient with ckd stage 4 with gfr less than 30 mill per minute that also needs another organ transplant.

Types of kidney Transplants:

Living donor kidney transplant

A living donor transplant is a procedure during which a kidney is reviewed received from a healthy donor and surgically placed in an individual with kidney failure.

The living donor is often a first degree relative or a family member from an extended family such as grandmother, grandfather, parent, sibling, spouse, child, uncle, aunt & cousins.

Advantages of living donor kidney transplant

Higher success rate
immediate function after transplant
it can be scheduled unlike deceased transplant
reduce risk of rejection
no risk to living donor
A deceased donor kidney transplant

A deceased donor is an individual who is brain dead due to causes not affecting the organ intended for transplant . They come from people who have decided to donate before death by signing urban donor cards or consent from family at the time of

Types of deceased donor Organ:

Standard criteria donor: Less than 50 years of age with no comorbidities.
Expanded criteria donor: More than 50 with high BP, CVA, or creatinine more than 1.5 mg per dl.

Double Kidney Transplant:

If both kidneys of the diseased doner are compromised then sometimes we have to remove both the kidneys for the transplatation into a single recipient.

Patients who are registered for diseased organ transplantation are called for the surgery once we receive the information regarding the deceased donor organ available our team approaches the center harvest the organ and is brought to Aykai Hospital through Green Corridor within shortest possible interval to be transplanted in the matched recipient .

Kidney Transplant Team:

Our team is specially trained in meeting the needs of kidney transplant patient it includes :

Transplant Surgeons
Transplant Nephrologists
Transplant Anesthetist
Transplant Coordinator
Transplant Fellow and Residents
Physician Assistants
Social Workers
Transplant Program Assistants
Financial Counselors
Dietitians
Transplant Psychiatrists
Transplant Pharmacists
Registered Nurse Practitioner

cardiology, endocrinology , general physicians , blood bank officers , infectious disease experts , pulmonologist , gastroenterologists.

Kidney Transplant Process:

Transplant patient at Aykai Hospital received the highest quality medical and nursing care the process begins with consultation with our transplant coordinator contact the transplant coordinator

Jennifer Deepak phone number (+91) 6283367523

Donor for living kidney transplant undergoes multiple level of test to being considered fit for kidney donation Three levels of test are conducted for the donor and if the donor found fit for the donation legal process starts

Recipient evaluation it includes test which are required for medical evaluation and surgery purposes patient will be scheduled to see the transplant team For the evaluation for kidney transplant

Evaluation will consist of :

Medical evaluation
Cardiology evaluation
Gastroenterology evaluation
Psychiatry valuation
Gynae evaluation
Financial evaluation

Based on the physician findings during the evaluation appointments additional testing and consult may be needed.

Once the evaluation is complete and legal process is done patient will be presented at the hospital based authorization committee meeting . The committee may approve the patient for listing require additional information prior to making a decision or determine that the patient is not a candidate for transplant.

Waiting for Transplant:

Those patients who do not have appropriate donor in the family are advised to get registered themselves in the cadre registration program for kidney transplant

The patient who gets registered themselves for the cadaver registration program they are listed according to the NOTTO ID’s . Once we receive any information for brain dead organ donor the listed patient are selected as per the government protocol since we have started this program we have done two deceased organ donor kidney transplant which has led to increase in the number of patients who want cadaver organ.

Discharge Planning and Recovery:

Your length of stay in hospital will depend on few factors including type of transplant your body’s acceptance to the new organ and your overall health . Normally donor is discharged on second day of his laparoscopic donor nephrectomy and recipient is discharged on 5^th day of surgery in our hospital our discharge patients are taught well how to take care of themselves, how to schedule their hospital visits and how to continue their immunosuppressive drugs . Also you are taught how to monitor your liquid intake and output our transplant team will be monitoring your health closely after the transplant and during your follow up appointments therefore it is very important to get your regular investigation done schedule follow up visits.

At aykai hospital we have made a special provision for our post transplant kidney patients we provide them post op care protocol which includes all the necessary information precautions And how to schedule the follow up physics we also Educate them about the special precautions to be taken.They are also advised to call in case of any kind of emergency such as pain low bp loose tool tired weakness they must call on 0161–5252525

Tips for healthy transplant recovery

Take all your medicines regularly
Follow regularly as advised
Call transplant team if you have any questions
Follow recommended dietary plans
Follow recommended fluid intake
Follow recommended exercise plan
Avoid being around anyone who has any infection

Call the transplant team if you have:

A fever higher than 100 degree Fahrenheit
Flu like symptoms
New pain around the transplant area
Swelling due to fluid retention
Sudden weight gain more than 4 pound in 24 hours
Significant decrease in appetite or urine output

What you need to know about rejection?

Any of symptoms mentioned above could be a sign of graft rejection one of the most common complication after kidney transplant

Rejection is your body way of not accepting the new kidney. Following test Are required to know if rejection is happening

Renal function test
Renal flow scan (Doppler study)
Kidney biopsy

What is a kidney biopsy?

It is a procedure Mostly done on OPD basis where A small piece of new kidney is removed with the needle and send for testing you are discharged the same day following surgery and report follows also 7 to 8 days later . you need to consult the transplant team if the biopsy confirms rejection because it needs immediate treatment.

Pediatric Kidney Transplant Program:

We at AYKAI hospital have conducted around 50 number of pediatric kidney transplant which is much more than any other center of North India. We have special infrastructure to take care of pediatric transplant patients.

Aykai Hospital doctors and surgeons work with a multidisciplinary team to determine the most appropriate treatment for our patients.

We have expertise in Treating

ABO incompatible transplant
Laparoscopic living donor nephrectomies with small incisions
Swap or pair donations
Transplant for highly sensitive candidate (positive cross match)
Steroid free immunosuppressive protocol
Transplantation in older adults
Transplant in HCV positive people
Transplant in obese patients
Transplant in HIV positive patients
Transplant in polycystic kidney disease
Transplant in metabolic disorders
Second and third kidney transplant

Achievements and Ranking:

First in the world to do swap between two religions (muslim and sikh families)
First to do the pediatric transplant at a younger age
First to do AB compatible
First to do the deceased organ donor transplant in Punjab
First to do 3^rdkidney transplant on a previous recipient
Aykai has been declared as one of the top entrusted hospitals of Ludhiana by Readers Digest