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Friday, February 8, 2008

How a kidney transplant is carried out?


Dr Amit Kumar may have been termed the kingpin of the infamous kidney racket, but a little introspection points out he may just be the face of it. And experts say for many reasons.
“A kidney transplant is a complex surgery. A single person at any point of time can’t perform it. There at least 10-12 people in the OT,” says transplant surgeon, Dr Rajesh Ahlawat.
A step-by-step breakdown of how a kidney transplant actually takes place reveals the reasons.
Determining the kidney failure- A nephrologist takes the call.
Providing Transplant Information- This is done by a team of morphologists and urologists
Finding a Donor - Legally the donor is selected from blood relatives. The nephrology team takes a call on that.
Screening the Donor for compatibility- Nephrological team and the transplant team are involved.
Transplant Operation itself- The Operation involves laproscopy for donor. Kidney is taken out and needs to be handled and preserved carefully. Recipient then undergoes an open surgery. Highly specialised and ventilated operation environment is required. A large qualified is involved comprising of renal surgeons, general surgeon and urologists.
Post-Operative Care- Both the donor and recipient stay under medical care for about a week. People involved are the surgical and urological teams.
Doctors say that the surgery is relatively safer for the donor, but there are cases when the recipient body rejects the new kidney.
Postoperative care is of utmost importance then. If the patients have been referred elsewhere for post operative care, the new team of doctors need to be in touch with the team that actually carried out the operation; in this case Dr Kumar.
“Postoperative care is essential as the body is subject to a lot of infections then,” says Dr Ahlawat.
Clearly, a kidney transplant cannot be done without the help of experts from at least four to five different specialties.
Dr Kumar may just be the tip of the iceberg called the ‘kidney transplant racket’.

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