Renal transplantation of live donor is the best opportunity for the patient

Renal transplantation of live donor is the best opportunity for the patient

What are the advantages for congenital kidney patients undergoing live donor kidney transplantation? Living donor kidney transplantation is, in the first place; One of the best opportunities for the patient suffering from renal disease, who is on dialysis or requires transplantation from the point of view of results. This means that living donor kidney transplantation is the one that obtains the longest and best long-term survival of all types of kidney transplantation, in relation to corpse donor transplantation, which would be its direct comparison.
Logically, in the cost-benefit, which is the other system by which we estimate the value of a therapy or a treatment, the kidney transplant of a deceased donor wins because it does not invest anything; Is an organ of a person who has died and therefore, by losing their organs in the same way that they have lost their life, gives them to a person and serves for that person to sustain life and logically cost benefit Which has kidney transplantation of deceased donor is unrivaled in the sense that there does not have to be a healthy person who suffers at the loss of one of their kidneys.

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Rafael Selgas
However, in terms of organ survival, ie how long an average living donor kidney transplant lasts and how long a deceased donor lasts, it does and also earns for several years. It is possible that it can be ensured that while the kidney of a living donor reaches the average 20 years, the cadaver donor is fighting to reach twelve or thirteen, always speaking of averages. The difference is clear.

And from the point of view of the donor and the recipient, what are the differences involved in living donor transplant intervention?

Desde el punto de vista del receptor la intervención es exactamente igual, no hay muchas diferencias, salvo quizá por el hecho de que hay mejores condiciones de programación. El trasplante renal de donante vivo se hace con una preparación previa en todos los sentidos porque se hace el día que se quiere, mientras que el de donante cadáver se hace cuando aparece la oportunidad.

As for the donor, the donor gives the kidney and remains, therefore, with only one of an even organ, and it has been shown in the long run that he lives in the same way as any other person who has not donated that organ and that the donor Intervention generates minimal interference, among which a minimum increase of some incidences could be counted, such as the one that the person has a greater tendency to have high blood pressure in the long term. However, at all times we are talking about increments that are insignificant from the epidemiological and personal point of view.

The delivery that one does to a person who requires it while alive is such a valuable delivery that, from the point of view of the person who gives the organ and who sees how it changes the life to who receives it, that Greater predisposition to hypertension is insignificant, since it is also nothing that is not treatable or irreparable.

What compatibility limitations are there for live donor kidney transplantation?

Compatibility in a living donor transplant is something that currently exists almost by definition only, since there is even a live donor kidney transplant program with blood group incompatibility, which was the limiting factor we had until now.

There is a cross-check that must be made, which, although very few, comes out positive, this is something that can happen and for it has been established what the ONT calls the cross-living donor program, which is a current program in Spain, of exchange of donors all of them alive. It is a well-established donation program in which if I, even though I want to, can not donate to my relative, husband or wife; I can link to a program of multiple care of couples with whom I can get to exchange it.

This, together with the overcoming by treatment of the incompatibility that is established in function of the blood group, have made them doubtless, live donor kidney transplantation is the best option.

What exactly is the intervention in a living donor kidney transplant? Is it a complex intervention?

The operation of the donor is performed by laparoscopy and is intended to be very simple, with minimal discomfort for the patient who usually has an average hospitalization of two or three days which means that their personal, family and work recovery is very good And very fast except for incidents that in surgery can never be said to not exist, it is normal that the patient is fully recovered at most in 10 days.

What is life like for a patient who has only one kidney?

Life with a kidney is completely normal. When we take a kidney for a live transplant we always play for, and so the two kidneys must always be intact, wholeheartedly. Then, when one leaves the individual half of the renal tissue, he does not suffer any loss of his function.

What requirements must a patient have to undergo a kidney transplant?

Renal transplantation may be performed by an individual who has lost his kidney function and is reasonably well able to undergo surgery and undergo immunosuppressive treatment that will always weaken his defenses to a greater or lesser extent. That is the conditioning. It is always understood that when one is transplanted it is taking a positive step in their survival and in their quality of life, although this does not mean that one hundred percent of the transplants that are made succeed.

What level of rejection is being handled at this time in kidney transplantation?

The percentage of success is around 95% We are touching what is called "statistical insignificance" in kidney transplant rejection, but that does not mean that it is an insignificant figure for people, if there are 5 people out of 100 who submit To a kidney transplant and reject it, for these five people this situation is very important.