‘Kidney transplant at Narayana Health hospital saves 51-yr-old Sgr woman’

Srinagar, March 21: Ms. Begum (name changed), a 51-year-old woman from Srinagar was suffering from end-stage kidney failure for the past 3 years. She was getting dialysis three times a week which was difficult for her to manage along with her household responsibilities. She was referred to Narayana Health- Gurugram/Delhi-NCR by family friends.
“To choose the right kidney donor in her family was not feasible because of cystic disease in her children and brothers. Therefore, her 77-year-old father came forward as a kidney donor who was referred to as a marginal donor. Keeping this clinical case in view, it was a challenging condition to manage,” said kidney transplant experts of NSHG, Dr. Shafiq Ahmed, Director and Senior Consultant- Urology & Renal Transplant and Dr. Sudeep Singh Sachdev, Director & Senior Consultant – Nephrology.
The patient was admitted for an elective renal transplant as she suffered from ESRD (End Stage Renal Disease) which is the final stage of kidney failure. She also suffered from hypertension, anaemia and metabolic bone disease, which made the case even more complicated.
“Thankfully, the patient got a donor in her father. After the stabilization of the patient via hemodialysis, we performed renal transplantation surgery on November 21, 2022. The post-operative period was uneventful and the patient had a good urine output immediately post-transplant. Her kidney functions settled to normal by the post-operative period,” said Dr. Sudeep Singh Sachdev, Senior Consultant & Director- Nephrology, NH.
“Due to scarcity/nonavailability of ideal donor, we have to select sometimes marginal donors to save the patient’s life. Other options for such patients who do not have an ideal donor in their blood relation should go for a swap transplant or register for cadaveric /deceased donor kidney transplant,” Dr. Sudeep said.
Another patient, Anwar (name changed) was a voluntary kidney donor for her daughter and was admitted for left laparoscopic donor nephrectomy surgery. “Even at the age of 77, he did not have any major medical complications which came as a boon and we did not face any challenges with the nephrectomy procedure,” said Dr. Shafiq Ahmed, Director and Senior Consultant- Urology, NH, adding, “Renal transplants require a team approach and we worked together to ensure that the patient receives the best possible care throughout the entire transplant process.”
Following the surgery, the patient was required to take immunosuppressant medications to prevent the body from rejecting the new kidney. The transplant team now closely monitors the patient’s progress and regular follow-up appointments have been scheduled to ensure that the patient is recovering well, he said.
According to a statement issued by the hospital, “Chronic Kidney Disease (CKD) is a non-communicable disease that affects one in ten people worldwide. While its severity can vary, CKD is often progressive and needs lifelong medical care. Over 850 million people worldwide are now estimated to have kidney diseases from various causes. According to experts, CKD causes at least 2.4 million deaths per year and is now the 6th most common cause of death. Nine out of ten patients who have kidney disease don’t even know that they have it till they reach the advanced stages of the disease. Between two to seven million deaths happen due to a lack of access to dialysis and transplantation. NH has been making all efforts to provide world-class facilities to the people of J&K at its hospitals across the Northern Region.”