KIDNEY TRANSPLANT PROGRAMME
Understanding Kidney Failure
Kidneys are your body’s filters. They purify blood several times a day, maintain your body’s fluid and electrolyte balance and produce urine.
So when the kidneys fail to function, your body starts getting poisoned. Each of your kidneys comprises a million microscopic filtering units called nephron. The most dangerous fact about kidney or renal failure is that one might not know about it till 90% of the function is lost.
The symptoms of kidney or renal damage include symptoms like swollen ankles, vomiting, weakness, poor sleep, and shortness of breath. If not addressed medically, the kidneys will eventually become dysfunctional – a condition that’s life threatening.
What causes kidney failure?
Chronic kidney disease (CKD) occurs when your kidneys have been malfunctioning for more than 3 months. It’s an irreparable, life threatening condition and there might be no visible symptoms at all.
Diabetes (types 1 and 2), high blood pressure, immune system diseases such as Lupus and chronic viral illnesses like AIDS, Hepatitis B and Hepatitis C can also cause kidney failure.
The other reasons for kidney failure include:
Multiple episodes of urinary tract infection
Polycystic kidney disease
Inherited kidney diseases
Congenital or birth defects - In many cases, the defect is rectified while the baby is still in mother’s womb; whereas those with major complications can only be managed at a later stage.
Drugs and toxins, including long-term use medications like NSAIDs (Non Steroidal Anti Inflammatory Drugs
Long-term exposure to certain chemicals
What is Kidney Transplant?
Kidney transplant is the process of replacing the diseased kidney with a healthy, donated kidney. It is recommended only if the kidneys are so damaged that they cannot be managed medically (Chronic Kidney Disease or End Stage Renal Disease).
In some cases, transplant might not be a practical solution if the patient has an active infection or another life-threatening disease such as cancer, severe heart or lung diseases.
Fortunately, according to worldwide figures, the success rate of kidney transplant is above 95%. This not only comes as a reassurance for those opting for transplant, but also reaffirms the fact that kidney transplant is indeed an effective mode of treatment.
What are the types of kidney transplant?
There are two types of kidney transplants: Live donor Transplant and Cadaver Transplant
When a person is transplanted with a kidney from a live donor, it is called Live Donor Transplant. The donor could be anyone - a family member, friend, colleague or even a random person who is generous enough to gift life by donating one of his/ her kidney.
Usually, the success rates of kidney transplants in which the donor and recipient belong to one family (parent/ sibling) are higher. This is because of high donor-recipient compatibility, which means the chances of rejection are very low. A live donor makes things easy as the waiting period is lesser and the patient gets well faster.
Cadaver transplant is when the kidney is got from a donor who is certified brain-dead. He or she would have would have signed up for donation before death. The kidney is surgically removed after obtaining consent from the deceased’s family and transplanted in the recipient.
What are the pre-transplant formalities?
You will have to go through a series of investigations before the surgery to ensure that the donor kidney matches your tissue and blood type. You will also be screened for other health problems including heart or lung diseases.
After these tests, you will be enlisted on the transplant list and also on the organ sharing network list. As soon as a matching recipient is available, we will let you know; and if all factors are favourable, our entire team will work as one to ensure you undergo the surgery without any issues.
What is robotic kidney transplant?
Robotic kidney transplant is a high-precision procedure in which the transplant surgery is performed with the help of a surgery robot. Aster Centre of Excellence in Multi-Organ Transplant is one of the few facilities in India to offer robotic kidney transplant. The first hospital in Kerala to offer da Vinci surgical system (surgery robot), we have the finest team of robotic surgeons with several years of international training.
In this procedure, our surgeon will use the da Vinci to remove the diseased kidney and replace it with the healthy, donated kidney. A highly advanced and minimally invasive procedure, the advantage of robotic surgery is that the pain, blood loss and recovery time are significantly lesser compared to the conventional open surgery. The scarring too is minimal.
What are the possible post-transplant risks?
The post-surgical risks, like every other transplant surgery, include rejection, infection, bleeding or reaction to anaesthesia.
Rejection happens when the body fails to recognise the new kidney and fights to destroy it. During the first few weeks or months post-surgery, your body may try to reject your new kidney. This is called acute rejection and occurs in 25 - 55% of the recipients. You’ll be given immuno-suppressants to counter this problem. Remember, it is mandatory to continue these medicines for the rest of your life.
There is also a chance of chronic rejection - a gradual, progressive loss of kidney function that may occur over many years. Unfortunately, there’s no known treatment for chronic rejection and the patient may have depend on dialysis again or opt for another transplant.
Aster Centre of Excellence in Multi-Organ Transplant has a very strong infection control system that’s managed by a highly-trained team of infectious diseases & infection control Physicians. Besides, we also have advanced technology like the HEPA Filter that purifies air to 0.3 microns, creating a safe and sterile environment for the patient.
What will it be like after the surgery?
You’ll be under continuous medical observation for 7 to 10 days post surgery, so that we can check whether your new kidney is functioning properly. At times, the new kidney might take some time to start functioning and produce urine. You might have to undergo dialysis till then and also take medications like diuretics to help the kidney expel excess water and salt from your body.
Our nurses and rehabilitation experts will take good care of you and guide you through your recovery.
We have state-of-the-art hemodialysis and peritoneal dialysis facility, complete with a water treatment plant to ensure high-quality dialysis for patients.
It is very important to visit your consulting doctor regularly and undergo all prescribed follow-ups and test to make sure that your new kidney is functioning well. Remember, a transplant surgery is a second chance at life and you need to be responsible for your own well-being.
FRCP (Glasgow, UK) | FISN|DM in Nephrology (PGIMER, Chandigarh) | DNB (National Board of Examinations, New Delhi) | MD in General Medicine (CMC, Vellore) | MBBS (Calicut Medical College)
Professor & Head of Nephrology - Amrita Institute of Medical Sciences
Asst. Professor, Associate Professor, Professor & Head of Nephrology-Kasturba Medical College, Manipal
Nephrologist, Dammam Central Hospital, K.S.A.
Awarded the Fellowship of Royal College of Physicians and Surgeons (Glasgow, UK)
Fellowship of Indian Society of Nephrology
Key Opinion Leader in Kidney transplantation of the International Transplantation Society
Member of many national and international professional associations in Nephrology
Invited to deliver talks and guest lectures at national and international conferences.
President of Nephrology Association of Kerala
Published 54 articles in International and Indian Medical Journals
Fellowship of Indian Society of Nephrology
Recipient of six Gold Medals for MBBS
Chapters in textbooks - Essentials of Nephrology and Urology, Renal Replacement therapy in Text Book of Medicine &Text book of Medicine
Examiner for DM in Nephrology at P.G.I.M.E.R Chandigarh,C.M.C. Hospital, Vellore , Sri Ramachandra University, Chennai & Amrita Viswa Vidyapeetham University
Examiner for Nephrology in the National Board of Examinations, New Delhi
Proficient in English, Malayalam, Hindi
FIACTA (HON) | FTEE (HON)| MS (Baroda Medical College)| MBBS (Govt. Medical College, Thiruvananthapuram)
Associate Professor, Sree Chithira Thirunal Institute of Medical Sciences, Thiruvananthapuram
Professor and Head of Department, Anaesthesia and Critical Care, AIMS, Kochi
22 years of teaching experience
Examiner for MD anesthesia
Examiner for DNB anesthesia
Examiner for fellowship in cardiac anesthesia
Teacher in Transoesophageal Echocardiography
Published 46 Research articles in International and Indian Journals
Proficient in English, Malayalam, Hindi, Gujarati and Tamil
Mch in Urology (Govt. Medical College,Kottayam) ||MS in General Surgery (Govt. Medical College, Thiruvananthapuram) | MBBS (Govt. Medical College,Thrissur)
Trained in Endourology and Stone Surgery
Ongoing Research on encrustations on DJ Stent FTIR Analysis
Numerous presentations made at general Surgery Conferences
Published multiple articles
Proficient in English & Malayalam
DNB in Nephrology (St. John’s Medical College, Bangalore)| MD (KIMS , Hubli) | MBBS (JSS Medical College ,Mysore)
Asst. professor, General Medicine, Kannur medical College
Senior Resident, Department of Nephrology, St. John’s Medical College, Bangalore
BMH Care Hospital
Published multiple articles in national and international journals
Proficient in English, Malayalam, Hindi & Kannada
DM in Nephrology (Govt. Medical College, Thiruvananthapuram) | MD (Govt. Medical College, Chennai) | MBBS (TD Medical College, Alappuzha)
Department of Paediatric Nephrology, SAT hospital, Thiruvananthapuram
Lecturer in Nephrology, Medical College, Thiruvananthapuram
Consultant Physician, Co-operative Hospital, Thodupuzha
Proficient in English, Hindi, Malayalam andTamil
Fellowship in Robotic Surgery (Columbia University division of Urology, Miami)| Fellowship- Urologic Oncology (University of Miami & Accredited by Society Urologic Oncology)| Fellowship in Endo urology (University of Minnesota & Accredited by Endo Urological Society)| MCh Urology (Government Medical College, Kottayam)| Board certified in General Surgery (DNB) India| Board Certified in Urology (DNB) India| MRCS (Edinburgh) | M.S. General Surgery (Govt. Medical College, Calicut)| MBBS (Govt. Medical College, Thrissur|
First in India to perform NOTES assisted Vaginal Donor Nephrectomy
First in the State of Kerala to do Single Incision Donor Nephrectomy- the second largest in the world
The first to use da Vinci Surgical Robot in the State, at Aster Medcity
Expertise in Laparoscopic single site donor Nephrectomy, NOTES Donor Nephrectomy, Ablation procedures (RFA, Cryotherapy), Robotic surgery (Robotic Prostatectomy /Cystectomy, Partial Nephrectomy), Laproscopy(Partial Nephrectomy ,Radical Nephrectomy ,Donor Nephrectomy), Endo urology (Flexible Uteroscopy ,PCNL,TURF,TURBT), Oncology (Laproscopic /robotic prostatectomy ,Cystectomy, Neobladder),Renal Transplantation & Buccal Mucosal Urethroplasty.
Associate Urologist, MS Ramaiah Hospital and Medical College, Bangalore, India
Assistant Professor of Urology, Amala Cancer Centre and Medical College, Thrissur
Teaching Instructor in Oncology and Sexual rehabilitation, Department of Urology, University of Miami
Consultant Urologist and Transplant surgeon, Department of Urology, Medical Trust Hospital, Cochin, Kerala, India
Performed more than 250 laproscopic donor nephrectomies & renal transplantations in the last two and a half years
Best paper award in the Annual Association of Surgeons of India
Best outgoing student for M.S. General Surgery – University of Calicut 2001
“Komaranchath” prize for the best publication by Urological Association of Kerala
Corporate Sponsored Fellowship by Endourological Society for the year
SS Bapat prize for the Best innovation in Urology in USICON 2014
Member, Editorial Board- International Journal of Urology and Nephrology, Asian Network for Scientific Information, Open Urology and Nephrology Journal , Open Prostate Cancer Journal
Reviewer - Journal of Endourology , Urology, Journal of Urology, Urologic Oncology, European Urology, British Journal of Urology, Advances in Urology, International Journal of Urology and Nephrology, BMC Urology, International Journal of Urogynecology, International Journal of Nephrology and Urology, Urotoday International, Urology Journal Publications
Published 27 articles
Proficient in English, Malayalam, Hindi
International Fellowship in Liver Transplant (ASAN Medical Centre, Seoul) | Fellowship in Liver Transplant AIMS Kochi| MD (BJMC Ahmedabad) | DA (Govt. Medical College, Calicut)| MBBS (Govt. Medical College Thrissur)
Assistant Professor, Jubilee Mission Medical College
Department of Anaesthesia, AIMS, Kochi
Junior Intensivist Paediatric Cardiac Surgery – MIMS Calicut
Expertise in Solid Organ Transplant Anaesthesia including Liver & Renal Transplant Anaesthesia for high risk HepatoBiliary &Pancreatic Surgery Anaesthesia for Vascular Surgery
Trained in Livet Transplant Anesthesia at ASAN Medical Centre, Seoul
Proficient in English, Hindi and Malayalam
Fellowship - Paediatric (Kings College Hospital, London) |Fellowship- Retrieval& Aeromedical Transfer (Children’s Acute Transfer Services, London) | Fellowship - Paediatric & Cardiac Intensive care (Great Ormond Street hospital, London, United Kingdom) | MD in Pediatrics (JJM Medical College, Davangaree| MBBS (Government Medical College, Alappuzha, University of Kerala) |
Previuos faculty in Neonatal and Paediatric Intensive Care at Christian Medical College, Vellore
Trained in triaging, stabilisation and retrieval of critically ill children at CATS, one of the largest specialist Paediatric retrieval services in Europe
Trained in Aeromedical transfer of critically ill children
Trained in highly complex Paediatric medical and surgical emergencies at Great Ormond street hospital for childre, London, one of World’s best Children’s Hospitals
Trained in managing post op cardiac patients and ECMO patients at the Cardiac intensive care unit at Great Ormond street hospital for childre- one of the busiest center of Children’s cardiac surgery in the World and among the biggest ECMO center for children in Europe.
Trained in Post-operative management of Pediatric Liver Transplant patients at King’s College Hospital, London- the biggest center for pediatric liver transplant in the World
Clinical Fellow, Paediatric Liver transplant & Intensive care unit, Kings College Hospital, Denmark hill. London
Senior Clinical Fellow, Paediatric & Cardiac Intensive Care Unit, Great Ormond Street hospital. London
Retrieval Fellow, Children’s Acute Transport Service (CATS), Great Ormond Street Hospital, London
Clinical Fellow, Paediatric Intensive care unit, St Mary’s hospital, Imperial Healthcare trust. London
Assistant professor, Paediatric intensive care unit, Christian Medical college, Vellore
Assistant Professor, Neonatal intensive care unit, Christian Medical College, Vellore
Associate Professor, Neonatal intensive care unit, Pushpagiri Medical College, Thiruvalla
Proficient in English, Malayalam Hindi, Tamil & Kannada
Dr. Anup R Warrier is Consultant, Department of Infectious Diseases & Hospital Infection Control. A Physician with over 9 years of experience and specialised training in management of infectious diseases and infections in hospitals, his special interests are Tropical Infections, Fever of Unknown Etiology evaluation, infections in the ICU & HIV Medicine, Antimicrobial Stewardship and cost – effective, evidence based infection Control.
DNB in General Medicine | Fellowship in Infectious Diseases (P D Hinduja Hospital,Mumbai) | Board Certified in Infection Control, Certification in Travel Health, European Diploma in Surgical Infections (SIS-Europe)| MBBS (Govt. Medical College, Thiruvananthapuram)
Infectious Diseases Specialist, KIMS Hospital, Trivandrum
In-Charge of Infection Control Program at KIMS Hospital, Trivandrum
Specialized training in Infectious Diseases from premier Institutes in India & USA
Close association with the Intensivists helped gain experience in managing infections in the critically ill
Developed the Infection Control Program at KIMS to the effect that international benchmarking could be done in line with INICC
One of the few Physicians in Kerala formally trained and practicing HIV Medicine
Experienced in evaluation & management of prolonged & undiagnosed fevers and also complicated Tropical Infections.
Management of adult immunizations, fever & infections in travelers
Published Research articles
Proficient in English, Malayalam, Hindi and Telugu
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