RENAL TRANSPLANTATION

• Any blood related donor is acceptable for transplantation provided relationship is established by genetic methods.
• Same blood group renal transplantation means receiving kidney from either same blood group or from O positive blood group
• Deceased donor-those who are brain dead in the intensive care unit following a road traffic accident or stroke
• Statistics suggests that about 150000 people in India are waiting for renal transplantation
• Only 1 out of 30 people who need a kidney receives one
• 90% of the patients in the waiting list die without getting the kidney
• Availability of kidneys for transplantation from deceased donor (Cadaver's) - always a shortage due to denial of familial consent, demand supply mismatch, lack of awareness in various sub urban hospitals, economic constraints for transplantation
• Interesting to note that countries like Spain have made organ donation compulsory after death!!

Newer Milestone in Transplantation

ABO Incompatible renal transplantation
• Don't need same blood groups for transplant-Across the blood group-Cross the barrier.
• Patient needs to remove antibodies in them before they acquire the kidney from donor.
• Excellent outcomes as same blood group transplantation with no major adverse effects.

Paired Kidney Exchange Program