Phase 1- Referral and Evaluation:

At the time of the application or referral of a patient for kidney transplant the transplant coordinators will collect the patient’s physical information, past medical history and results of any previous diagnostic tests and treatments as well as a description of his or her current condition and legal paperwork. A transplant evaluation will be scheduled for the patient, which will include consultations by the surgeon, nephrologists, psychiatrist and specialists from other disciplines (especially immunology, cardiology, and anesthesia). Decisions regarding approval of candidates for transplantation are made by consensus and once a decision is reached; the patient, the referring physician and other related parties are informed.

Phase 2- Transplant Surgery

After necessary preparations are completed, the kidney is removed laparoscopically from the donor, treated with the protective fluid and placed into the groin area (iliac fossa) of the recipient behind the abdominal wall. Arterial, venous and urinary tract connections are made and a stent (in selected cases) is placed on the ureter. The ureteric stent is removed in 3-4 weeks under mild anesthesia in the operating theater by the urologists. The surgical incision of the kidney recipient is closed by staplers and those staplers are removed 3 weeks following the operation in the outpatient clinic. The transplant patient leaves the operating room with a drain, which is usually removed after 3-4 days.

Immuno-supressive medications are used to prevent rejection of the organ. The new generation immuno-supressive medications are highly sophisticated and successful. New and future frontiers in transplantation include xeno-transplantation and artificial organ development.

Phase 3- Post Transplantation

Life after transplant involves continuous follow-up by a physician as well as certain measures to more easily adapt to daily life. The recipient would need follow-up outpatient visits to ensure his or her general health and the functioning of the transplanted organ. These follow-up visits get less frequent over time and the recipient can reach the transplant center via telephone or internet anytime the patient has a concern or question. The donor would get a physical examination prior to discharge from the hospital to ensure his or her general health and the functioning of the remaining organ.

First follow-up visit would be in 6 months and then annually. Mindful physical activity, healthy and balanced nutrition, general hygiene and preventive measures for infections are important for organ recipients.


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Tuesday, July 17, 2018 4:11:40 PM