Donor Nephrectomy and Kidney/Renal Transplant

1. Donor Nephrectomy and Kidney/Renal Transplant

2. Donor nephrectomy is a surgical procedure to remove a healthy kidney from a live donor for transplant into a person whose kidneys no longer function properly. In this procedure, the kidney is freed using four ports and removed through an incision in the lower abdomen. A kidney transplant is a commonly adopted treatment for kidney failure as an alternative to a lifetime of dialysis. It has emerged as a popular treatment, in the wake of drastically increasing numbers of people waiting for a kidney transplant. The demand for donor kidneys far outweighs the supply of deceased-donor kidneys, which makes living-donor kidney transplant an attractive option.

3. Surgical Assessment of Donors There are two main aspects of donors • Assessment of the viability of extraction, selecting the appropriate side for the nephrectomy. • Evaluation of any concomitant urological pathology that may contraindicate donation. This assessment is made using anamnesis, careful physical examination and imaging tests.

4. Current Trends In Donor Nephrectomy With the advancements in technology, most of the donor nephrectomies are done Laparoscopically (keyhole surgery) with obvious advantages like: – Fast recovery – Less morbidity – Less hospital stay – Early return to work – Better cosmetic results

5. Consultations for Donor The donor chosen for the transplant must undergo a series of consultations before he/she can be deemed suitable for donating a kidney. An expertised transplant surgeon is required for the same. The donor must undergo the investigations in the supervision of Urologist/Genitourinary Surgeon, Nephrologists, transplant coordinators, and a counselor.

6. Recommendations As already mentioned, living-donor nephrectomy is a special surgical procedure since it is performed in healthy individuals seeking to benefit another person. As such, one must minimise the risks as much as possible. There are various safe surgical techniques with positive results for both the donor and recipient, so we must therefore use the surgical technique that, in our hands, provides the most security for the donor. Living donation programmes should be carried out in specialised centres by trained professionals in order to achieve and maintain safety and positive results.

7. Published at https://drrahulyadav.com/donor-nephrectomy-and-kidney-renal-transplant/

8. Dr Rahul Yadav is a trained and experienced surgeon for Donor Nephrectomy and Kidney Transplantation. He holds a specialization which enhanced the donor investigations and eventual transplant surgery. FOR FREE INITIAL CONSULTATION CALL : +91-7755 003 003 Senior Consultant Urology, Uro-oncology & Renal Transplant Apollomedics Super Speciality Hospital, Lucknow

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