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kidney Transplant in India: A Complete Overview

14 Jun, 2024

Blog author iconDr. Divya Nagpal
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Kidney disease, including chronic kidney disease (CKD) and end-stage renal disease (ESRD), poses significant health challenges in India. Limited awareness and access to timely medical interventions exacerbate the burden faced by patients. Misconceptions about kidney transplants, including concerns about complexity, costs, and outcomes, delay life-saving treatments. These barriers contribute to delayed diagnosis and treatment, impacting patient outcomes. Kidney transplants offer hope for ESRD patients in India. Renowned hospitals and skilled medical professionals provide expertise in nephrology and transplant surgery. Advancements in medical technology support comprehensive care from evaluation to post-operative recovery, improving health and quality of life. This blog explores kidney transplants in India comprehensively, covering procedural details, post-transplant care, success rates, hospitals, surgeons, costs, risks, and future trends. Understanding these aspects empowers informed decision-making for patients and families seeking optimal kidney health management.

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Procedure


Kidney Transplant Procedure

A. Pre-operative Preparation

Before the surgery begins, several crucial steps ensure both the donor and recipient are prepared for the kidney transplant:

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1. Donor Evaluation: For living donors, a series of medical and psychological assessments are conducted to ensure they are healthy enough to donate a kidney. In the case of deceased donors, kidneys are matched through organ donation networks based on factors like blood type and tissue compatibility.


2. Recipient Evaluation: Extensive tests are performed on the recipient to assess their overall health and to determine if they are a suitable match for the donor kidney. Compatibility tests, known as cross-matching, are crucial to ensure that the donor kidney will not be rejected by the recipient's immune system.


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B. Surgical Procedure

During the surgical procedure itself, the following steps are typically undertaken:

1. Anaesthesia: The patient receives general anaesthesia to ensure they are unconscious and pain-free throughout the surgery.


2. Incision: A surgical incision is made in the lower abdomen or side of the recipient to access the area where the kidney will be placed.


3. Donor Kidney Placement: The donor's kidney is carefully placed into the recipient's body and connected to the recipient's blood vessels (artery and vein) as well as the ureter, which is the tube that carries urine from the kidney to the bladder.


4. Closure: Once the kidney is in place and functioning, the surgical incision is closed using stitches or staples.


C. Post-operative Care

After the surgery is completed, ongoing care is crucial for the recipient's recovery and long-term health:

1. Immunosuppressive Medications: These medications are prescribed to prevent the recipient's immune system from rejecting the donor's kidney. It's important for recipients to take these medications as prescribed to maintain the transplant's success.


2. Monitoring: Regular monitoring of kidney function and overall recovery is essential. This includes frequent blood tests and medical check-ups to ensure the kidney is functioning properly and to detect any signs of rejection early.


3. Diet and Lifestyle: Recipients are often advised to make dietary adjustments and lifestyle changes to support kidney health and overall well-being post-transplant.


4. Follow-up: Long-term follow-up care is necessary to monitor the transplant's ongoing success and to address any potential complications that may arise.


By carefully following these steps, both before and after surgery, kidney transplant procedures can greatly improve the quality of life for recipients with end-stage renal disease.


Best Hospitals for Kidney Transplant in India

1. Fortis Memorial Research Institute (FMRI), Gurugram


Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.

Location

  • Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
  • City: Gurgaon
  • Country: India

Hospital Features

  • Established Year: 2001
  • Number of Beds: 1000
  • Number of ICU Beds: 81
  • Operation Theaters: 15
  • Hospital Category: Medical
  • Treatment Availability: International
  • Status: Active
  • Visibility on Website: Yes

Specialties

FMRI excels in several medical specialities, including:

  • Neurosciences
  • Oncology
  • Renal Sciences
  • Orthopedics
  • Cardiac Sciences
  • Obstetrics and Gynecology

These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.

Team and Expertise

  • International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
  • Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
  • Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.

About Fortis Healthcare

FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.


2. Apollo Hospitals, Chennai

Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr. Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.

Location

  • Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
  • City: Chennai
  • Country: India

Hospital Features

  • Established Year: 1983
  • Treatment Availability: International
  • Hospital Category: Medical
  • Status: Active
  • Visibility on Website: Yes

About Apollo Hospitals

Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.

Team and Specialties

  • Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
  • Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
  • Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
  • Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
  • Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
  • Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
  • Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.

Infrastructure

With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.


3. Indraprastha Apollo Hospital, New Delhi

  • Address: Indraprastha Apollo Hospitals, Sarita Vihar, Delhi-Mathura Road, New Delhi - 110076, India
  • Country: India
  • Treatment Availability: Both (Domestic & International)
  • Hospital Category: Medical

About Hospital:

  • Indraprastha Apollo Hospitals, New Delhi, is a multi-speciality tertiary acute care hospital with 710 beds, making it one of the most sought-after destinations in Asia for healthcare.
  • It is a state-of-the-art modern facility in the heart of the capital, spread over 15 acres with a built-up area of over 600,000 square feet.
  • This flagship hospital of the Apollo Hospitals Group epitomizes the clinical excellence that the Apollo Group stands for, aiming for the best clinical outcomes for patients.
  • The hospital achieves the best clinical outcomes for the most complex diseases with the best staff supported by the latest technology and standardized processes.
  • Indraprastha Apollo Hospitals engages the best consultants through a rigorous credentialing and privileging process, supported by top healthcare staff.
  • Regular training programs, conferences, and continuing medical education programs keep the staff abreast of the latest developments in their fields.
  • The hospital is equipped with the latest and best-in-class medical technologies such as PET-MR, PET-CT, Da Vinci Robotic Surgery System, Brainlab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt-based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, and 128 Slice CT scanner to provide world-class care.
  • Indraprastha Apollo Hospitals was the first hospital in India to be JCI accredited in 2005 and was the first to be reaccredited in 2008 and 2011. It also has NABL-accredited clinical laboratories and a state-of-the-art blood bank.

Team and Speciality:

  • The hospital has a team of the best consultants supported by top healthcare staff, engaging in regular training and continuous education.

Infrastructure:

  • Established in 1996
  • Number of Beds: 1000
  • State-of-the-art facilities with the latest medical technologies.

4. Artemis Hospital

Number of Beds: 400
Number of ICU Beds: 64
Operation Theaters: (Information not provided)
City: Gurgaon
Address: Sector 51, Gurugram, Haryana 122001, India
Country: India
Treatment Availability: Both (Domestic & International)

  • Artemis Hospital, established in 2007, spread across 9 acres, is a 400-plus-bed; state-of-the-art multi-specialty hospital located in Gurgaon, India.
  • Artemis Hospital is the first JCI and NABH-accredited hospital in Gurgaon.
  • Designed as one of the most advanced in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
  • Artemis has put modern technology in the hands of renowned from across the country and abroad to set new standards in healthcare.
  • The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
  • Top-notch services, in a warm, open-centric environment, clubbed with affordability, have made us one of the most revered hospitals in the country.
  • In 2011 it received the 'Asia Pacific Hand Hygiene Excellence Award' by WHO.
  • Along with state-of-the-art infrastructure, the hospital excels in the fields of cardiology, CTVS Surgery, neurology, neurosurgery, Neuro interventional, oncology, Surgical Oncology, orthopaedics, Spine Surgery, Organ Transplants, General Surgery, emergency care &Women & child care



Top Kidney Transplant Surgeons in India

1. Dr. Sandeep Guleria


Cost of Kidney Transplant in India

The cost of a kidney transplant in India can vary depending on several factors, but generally ranges from INR 5 lakh to INR 15 lakh (USD 7,000 to USD 21,000). Here's a breakdown of the influencing factors:

  • Hospital: Costs can vary between hospitals depending on their reputation, location, and facilities.
  • Type of transplant: Living donor transplants are typically cheaper than deceased donor transplants.
  • Medical condition: Additional medical needs can increase the cost.
  • Medications: Immunosuppressant medications are essential to prevent organ rejection and can be expensive.
  • City: Costs may be higher in major metro cities compared to smaller towns.

Success Rate of Kidney Transplant in India

India has emerged as a popular destination for medical tourism due to its high-quality healthcare and affordable costs. Success rates for kidney transplants in India are comparable to those in developed countries, typically ranging from 85% to 95% for living donor transplants and around 80% to 85% for deceased donor transplants.



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If you're seeking kidney transplants in India, let HealthTrip be your compass. We support you throughout your medical journey with the following:

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Risks Associated with Kidney Transplant

    • Surgical Risks: Infection, bleeding, and blood clots during or after surgery.
    • Organ Rejection: Acute and chronic rejection, despite immunosuppressive therapy.
    • Side Effects of Immunosuppressants: Increased susceptibility to infections and potential long-term effects on other organs.
    • Complications from Medications: Toxicity and interactions with other drugs.
    • Psychological Impact: Stress, anxiety, and adjustment disorders post-transplant.
  • Post-Transplant Care and Recovery

    After a kidney transplant, taking care of yourself involves a few important things:

    A. Medication Adherence: It's super important to stick to your medication schedule. These meds help prevent your body from rejecting the new kidney. Your doctors will keep an eye on you to watch out for any side effects and make sure the meds are doing their job properly.


    B. Monitoring: You'll have regular check-ups and tests to see how well your new kidney is working. This helps catch any issues early on so they can be treated right away. Keeping up with these appointments is key to keeping your kidney healthy for the long haul.


    C. Lifestyle Changes: Eating right and staying active are also crucial. Your diet might need some adjustments to keep your kidney happy and working well. Doctors often recommend regular exercise to keep your heart and body strong. These changes not only help with recovery but also improve your overall health after transplant.


    It's also important to be aware of any complications that might come up, like infections or signs that your body might be rejecting the kidney. Getting help early can make a big difference. And don't forget about your emotional well-being.

    Taking care of yourself after a kidney transplant is a team effort between you, your doctors, and your support network. With proper care and attention, many transplant recipients go on to live healthy, fulfilling lives with their new kidneys.

    Future Trends and Advancements

    Advancements in kidney transplantation include:

    A. Immunotherapy: Doctors are now focusing on targeted treatments with immunotherapy. This means they're trying to reduce the need for those heavy immune suppression drugs that transplant patients usually have to take. By helping the body accept new kidneys better, these treatments aim to cut down on side effects and long-term risks, which can make life a lot better for people who've had transplants.


    B. Organ Engineering: Imagine bioengineered kidneys and wearable artificial kidneys! Researchers are working hard on these innovations to tackle the shortage of donor organs. These high-tech solutions could give patients more options while they wait for a suitable donor or even as alternatives to traditional transplants. It's like sci-fi becoming real, offering more flexibility and a better quality of life.


    C. Personalized Medicine: Now, doctors can use genetic testing to tailor treatments specifically for each patient. This personalized approach helps predict how likely it is that a new kidney might be rejected. By fine-tuning medications and therapies based on individual genetic profiles, doctors can improve the chances of a successful transplant and reduce complications down the road. It's all about making sure the treatment fits the person.


    D. Telemedicine: Post-transplant care is getting a boost from telemedicine. Virtual clinics and remote monitoring mean patients can get their kidney function checked and their health monitored from home. This makes specialized care more accessible, with doctors able to step in quickly if there are any issues. It's like having your healthcare team right there with you, even when you're not in the hospital.


    E. Regenerative Medicine: Stem cell therapy and tissue engineering are opening up new possibilities for kidney repair and regeneration. These cutting-edge treatments aim to fix damaged kidneys or even grow new tissue. It's exciting because it could mean fewer repeat surgeries and better overall kidney function for patients in the long run. This kind of innovation is all about improving quality of life and giving patients more hope for the future.

    These advancements are really promising for the future of kidney transplantation. With these new technologies and personalized approaches, doctors are transforming renal care, offering patients around the world better outcomes and a brighter future.


    In summary, kidney transplants in India offer vital solutions for end-stage renal disease, supported by leading hospitals, expert surgeons, and advanced medical technologies. With high success rates and continually improving treatments, patients receive comprehensive care designed to enhance long-term health outcomes and quality of life.

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    FAQs

    A kidney transplant involves surgically placing a healthy kidney from a donor into a patient with kidney failure.