Kidney Transplant

Overview

The Department of Kidney Transplant at Sir H. N. Reliance Foundation Hospital offers a compassionate, patient-focused Kidney Transplant Programme for patients with end-stage kidney disease.

Our multidisciplinary team, including nephrologists, transplant surgeons, anaesthesiologists, nurses, transplant coordinators, and dietitians, works closely with you and your family at every stage of the transplant journey.

From diagnosis and donor matching to surgery and lifelong post-transplant care, you are supported with personalised attention and expert care.

Our transplant program is strengthened by advanced diagnostic support through a world-class HLA laboratory, microbiology and pathology services, nuclear medicine, and high-resolution imaging. Our team performs over 50 kidney transplants, brings experience, and consistently delivers successful outcomes.

Our Services
Technology & Infrastructure
Conditions We Treat

Our Kidney Transplant Programme is built around compassionate care, advanced technology, and expert medical guidance, ensuring a seamless journey from diagnosis to long-term recovery. Our key services include:

Patient Evaluation & Selection
- Medical evaluation: Screening includes kidney function tests, imaging, and overall health assessment
- Psychosocial assessment: Evaluates mental and emotional preparedness of the patient for transplant.
- Tissue matching and compatibility testing: HLA typing and crossmatching to find a compatible donor.
- Infectious disease screening: Ensures the recipient is free from active infections.

Donor Matching
- Living donors: Usually close relatives.
- Deceased donors: Organs obtained through cadaveric donation programs.
- Legal & ethical clearance: Compliance with organ transplantation laws and proper consent procedures.

Pre-Transplant Preparation
- Dialysis support for patients awaiting transplant.
- Immunization & infection control: Ensuring vaccinations and preventive care.
- Patient education: Guidance on post-transplant care, medications, and lifestyle modifications.

Transplant Surgery
- Experienced surgical team: Nephrologists, urologists, anesthetists, and intensivists.
- Surgical procedure & post-op care: Adherence to strict surgical protocols to minimize complications.
- ICU monitoring: Continuous post-operative care in a specialized Transplant ICU to ensure stability.

Post-Transplant Care & Follow-up
- Immunosuppressive therapy: To prevent organ rejection.
- Long-term care: Lifestyle management, nutrition counselling, and psychological support.
- Pain management: Strategies for post-operative pain management.

Support Services
- Transplant coordinators: Manage patient-donor logistics.
- Counselling & support groups: Help patients cope with emotional and lifestyle adjustments.
- Financial & insurance assistance: Guidance on medical expenses, government schemes, and insurance coverage.

Specialised Transplants We Perform: We offer a range of advanced transplant types, including:

Pre-emptive transplants (before dialysis)
Cadaveric (deceased donor) transplants
ABO-incompatible transplants
High-risk transplants, including for HIV-positive and polio-affected patients.

Our Kidney Transplant Programme is backed by cutting-edge medical infrastructure designed to ensure the best outcomes. We have a state-of-the-art Transplant ICU with specially trained staff to manage all kinds of complications and post-operative care.

Robotic-assisted kidney transplant surgery: This is an advanced, minimally invasive technique that uses a surgical robot for enhanced precision and control. used for both kidney donors and recipients. It is used both for kidney removal in donors and kidney transplantation in recipients, especially in complex cases. Benefits for the donor include:

Smaller incisions, leading to less post-operative discomfort
Faster recovery and shorter hospital stays
Lower risk of complications compared to open surgery
Minimal blood loss during the procedure
High accuracy, especially beneficial in obese patients or those with challenging anatomy

Kidney transplant may be required in cases of end-stage renal disease (ESRD), where the kidneys have lost nearly all function. ESRD can result from a variety of underlying conditions, and transplant becomes necessary when other treatments like medication or dialysis are no longer sufficient.

Some of the common conditions we treat include:

Chronic Kidney Disease (CKD): Long-term kidney damage that gradually reduces kidney function.
Diabetic Kidney Disease: Kidney damage resulting from long-standing or poorly controlled diabetes.
Glomerulonephritis: Inflammation of the kidney’s filtering units, impairing their ability to remove waste.