Young Patient with End-Stage Chronic Kidney Disease Undergoes Successful Kidney Transplantation
Hyderabad, September 3, (Maxim News): A young patient reported to CARE Hospitals, Nampally with stage 5 Chronic Kidney Disease (CKD) on maintenance hemodialysis for 4 years.
After a detailed diagnosis and evaluation of the patient, the team of doctors led by Dr. Shaista Hussaini, Consultant Nephrologist and Dr. Abdul Fatah, Consultant Urologist suggested kidney transplant for the patient as lifelong dialysis is not a sustainable option. The young patient in question was enrolled into Jeevan Daan Scheme and a Cadaveric Kidney was harvested and kidney transplant was done. The team of doctors performed the transplant with a donor kidney small in size with small calibre ureter and with poor blood supply. The renal artery was also small in calibre.
After preparation, kidney was placed in right iliac fossa renal vein anastomosed to external iliac vein and renal artery anastomosed to right external iliac artery. D-J stent was placed. Transplant was successfully done and the patient was discharged with good urine output and without the need of dialysis.
It is estimated that globally, chronic kidney disease is associated with approximately 735,000 deaths annually. In India, some 150-230 persons suffer from End-Stage Kidney Disease (ESKD) in every million people. Kidney transplantation programme in India has significantly evolved over the past few years and is currently the second largest programme in numbers after the USA.
With the advent of better immunosuppressive drugs and a shift from using high-dose steroids has resulted in lower incidence of postoperative complications after transplant surgery. Minimally invasive methods for managing transplant surgery complications have been possible due to the advances made in the field of urology over the past few decades. (Maxim News)