Kidney Transplant

BEFORE TRANSPLANT

DONORE & REEPIENT HEALTH CHECK-UPS AND DETAILS

1^st Step: Consultant teams will be form

1. Nephrology's Maximum 2 numbers
2. urologist
3. Cardiology
4. Gastro logy
5. Anesthetist
6. USG
7. Supporting professionals

Diagnosis   : Patient Weight

                     Height

                      Complications

                     HCV & other

History       : Dialysis started from ?

                     HCV Condition

                     Known HT

                     DM/IHD/PT/BA

                     O/E patient conscious

                     Temperature

                     CVS

                     RS ' NVBS

                     ABD

                     BP

Transplant Procedure          : Under GA (L) modified Gibson incision, abdomen was will open. Retoperitoneum sutured. The Extern lilac vein was isolated; the internal iliac artery was isolated. The Donor kidney (L) was placed in renal bed and anastomosis done as follows.

Renal vein ' external iliac V ' 6'0 prolene (end to side anastamois)

Renal artery ' Internal iliac artery ' 6'o prolene ( end to end anastamosis)

Ureter was spatulated and anastamosed to bladder with 4'O vicryl. ® flank tube drain kept. (L) flank infant feeding tube kept. Wound closed in layers after obtaining complete haemostasis. Patient was treated with Liq Cyclosporin 2ml bd, T.Cellcept, T.Omnacortil 30mg od, T.Nicardia ® 10mg bd, Inj. Vit K 1amp Im od, T.ferrium 1 bd, Candid mouth paint tbs, Inj.Fortwin, Inj.Phenergan im sos, inj.Mol 2cc im sos, T.Polybion 1od, T.cepoderm 200mg 1bd.

Inj. Vit K given for 10days pre ad post operatively. DT will kept for 8^th days and S.Cyclosporin though level checking and US be done for 1POD. Doctors advised to mentain strict intake and output chart daily, to wear face mask always, to avoid crowded places, to eat only hygienic home made food only. And to continue medicines as prescribed by the doctors.

SOME TESTS WILL BE DONE FOR DONOR AND RECEPIENT

TESTES for RECEPIENT

Blood Grouping & RH typing

Total WBC Count

Differential count

ESR

HB

PCV

SUGAR FASTING

SUGAR POST PRANDIAL

URAA

CREATININE

SE.ELECTROLYTES     NA+ 

                                      K+

                                      CL+

                                      HCO

CROSS MATCHING

URINE ROUTINE

CHEST X-RAY

ECG

ECHOCARDIOGRAM

ULTRASONOGRAM

HCV

CMV

HSV

FITNESS

SE-CALCIUM

SE-PHOSPHORUS

SE-URIC ACID

SE-PROTEINS TOTAL

ALBUMIN

GLOBULIN

A.G

SE-BILIRUBIN

1. DIRECT
2. INDIRECT

SE-GOT

SE-GPT

HBS AG

HIV

TESTS FOR DONOR

BLOOD GROUPING & RH TYPING

HBS AG

URINE ROUTINE

URINE CULTURE & SENSITIVITY

BLOOD TWBC

BLOOD DC

BLOOD ESR

BLOOD HB & PCT

BLOOD SUGAR FASTING

BLOOD SUGAR POST PRANDAL

BLOOD UREA

SERUM CREATININE

24 HOURS URINE PR0TIEN

CREATININE CLEARANCE

BLOD VDRL

CROSS MATCH TEST

HIV TEST

X-RAY CHEST FA VIEW

I.V.P

ANGIOGRAM

ECG

ULTRASONOGRAM

ECHO GARDIOGRAM

TORUCH PANEL

CVM

HIV

HCV

FITNESS

The above tests are done in hospital under observation of consultants.