All patients with chronic kidney failure in the age group of 2 to 75 years can benefit from kidney transplantation. Common causes of kidney failure needing transplant include diabetes, glomerular diseases, interstitial fibrosis, reflux nephropathy, hypertension etc. Outcomes – in cadaver kidney transplant the 5 year graft survival is 70%, and 10 year survival is 60%. In living related transplants the 5 year graft survival is 80% and 10 years is 70%. The first year graft survival is 90% for both types of transplants.
Any relative with a compatible blood group and normal function of all major body systems can safely donate one of their kidneys. Dr. M.R. Rajasekar has pioneered kidney removal by laparoscopy in India and has the largest experience in the country. Laparoscopic donor nephrectomy enables donors to get back to normal state within 2 to 3 days and have a much smaller scar. Pain and other morbidities are reduced significantly. The outcome of laparoscopic kidney removal is same as that for robotic surgery. After complete medical and psychological evaluation the papers supporting relationship are submitted to the transplant approval committee. Clearance is usually obtained in few weeks, after which a suitable date is fixed for the transplant.
Patients who do not have related donors are evaluated and kept on a waitlist for a cadaver organ. Patients need to undergo complete evaluation and provide a list of documents required by TRANSTAN to complete the process of listing. Few days visit to the ‘GLOBAL ORGAN TRANSPLANT CENTER’ and few dialysis is mandatory. The waiting time is variable and depends on the rate of donation and the number of patients waiting for that blood group. Outcome of cadaver organ transplant is comparable to that of live donor kidney transplant.
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