Kidney transplant from living donor

What is it?

Technical difficulty:
high
Average duration of the intervention:
about 3 hours
Average duration of hospitalization:
about 10 days

When is this procedure indicated?

Stage V acute renal failure (GFR less than 15 ml/min).

Recovery

Upon awakening the patient will have a central or peripheral venous catheter, necessary for the administration of intravenous therapy and for hydration by IV. A bladder catheter will be placed in the operating room and removed as soon as possible and, at surgical discretion, an abdominal drain, if indicated. You will remain connected to a cardiac monitor for a few days, which will assist the medical and nursing staff in monitoring your vital signs. Due to a delayed functional recovery of the transplanted kidney, some post-operative dialysis sessions may be necessary (20% of cases), but this does not compromise the final success of the transplant.  From the time of discharge, the patient will undergo outpatient follow-up. Successful recovery and maintenance of function of the transplanted organ depends on a careful balance of medications, including immunosuppressive drugs (to prevent rejection), antibiotics and other prophylactic treatments (to prevent infection), as well as anti-ulcer drugs or other medications that counteract the side effects associated with anti-rejection drugs.

Patients begin therapy during hospitalization and continue to take most of these medications after discharge and for the rest of their lives. Doses will be progressively reduced to adjust the dosage for each patient.

Short-term complications

In the short term potential risks of surgery include surgical complications and infection. The main problems that can occur are: blood or urinary collections at the site of transplantation, stenosis, partial or total closure of the ureter, thrombosis of arterial or venous vessels, fistulas. Their onset is usually very early (1st week) and rarely late. Most of them do not jeopardize transplantation if recognized and treated promptly.

Long-term complications

The most common complications following kidney transplantation include: infections, rejection reactions, hemorrhage, thrombosis, delayed functional recovery, onset of diabetes, psychological changes, etc. The recipient's immune system tries to reject the new organ because it does not recognize it as its own. For this reason, transplanted patients begin immunosuppressive therapy from the day of surgery and continue to take it for the rest of their lives. Transplant patients should immediately notify physicians of the appearance of signs of rejection. If rejection is diagnosed and treated early, it is usually reversible. Chronic rejection, on the other hand, is more insidious and difficult to treat, appearing late in life. In addition, occasionally, a kidney transplant patient may develop diabetes after transplantation. This complication is related to the use of anti-rejection drugs, which are necessary after the implantation of the new organ, and is favored by the predisposition of the patient. This type of diabetes is usually, but not always, temporary and resolves when therapy is reduced. Some patients require the use of oral medications or insulin injections to correct the elevated blood sugar.

Are you interested in receiving the treatment?

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