Kidney Transplantation: A Brief

kidney-transplant

Kidneys are vital organs that filter waste products from the blood. They perform a variety of functions like maintaining electrolyte balance, regulating blood pressure and production of red blood cells in our bodies. There are numerous causes of renal failure. Some cases of kidney failure are treatable, while in many other situations the condition is progressive and irreversible. Unfortunately in those cases, kidney transplantation is the only solution or you have nothing else to do other than wait for impending death. Kidney transplantation or renal transplantation is the organ transplant of a kidney into a patient with end-stage renal disease. Last Saturday, External Affairs Minister Sushma Swaraj’s kidney transplant was conducted successfully at AIIMS. The transplant surgery lasted for 5 long hours which was carried on by a team of 50 personnel, including AIIMS Director, Dr. M.C. Mishra, Director Fortis hospital, Mohali, Dr Mukut Minz, other prominent transplant surgeons, transplant anaesthesiologists and nephrologists, nurses, technicians and other staffs.

Honourable External Affairs Minister Sushma Swaraj has been named as one of the 15 ‘Global Thinkers’ of the world in 2016 by Foreign Policy Magazine only yesterday. The magazine praised her for ‘novel Twitter diplomacy’. She deserved it rightly so. She has even worked for the public while ailing and from a hospital room. Amongst the many feathers in her cap, she indulgently helped 10,000 starving migrant workers in the Gulf in July.

The minister herself announced on Twitter last month that she was in AIIMS because of kidney failure. Soon after the announcement, she received support from the masses with several people offering their kidneys for transplant. The organ was harvested from a ‘living non related donor’, as no suitable donor was available in the immediate family.

A clearance from the authorisation committee had to be obtained prior to the procedure. This brings us to the topic of clearance and legalities. Clearance is very difficult to obtain. There are around two lacs people in our country who are waiting to get the official nod for a kidney transplant. Due to stringent laws most people die a premature death. If the donor is a ‘near relative’ then things are simpler to secure an official permission. However, the definition of ‘near relative’ is very restrictive; parents, spouse, grandparents, children, siblings and grandchildren come under the ambit. Where the donor is near relative, the permission might get delayed due to the sluggish process in which the machinery functions, but it is not denied. Denial comes when the ‘near relative’ is unavailable or unfit to donate a kidney. In such cases a ‘non relative’ is considered, but that person can donate ‘only out of attachment or affection’ or for a ‘special reason’ but never out of considerations of money. This law was made to protect the lives of the poor in the country since it is mostly them who usually come forward to donate. They are exploited and mobilised by middlemen. It is a complete racket which gives rise to human trafficking. But ironically even this law turned out to be a draconian one. And it only served to promote illegal trading of organs. To find somebody who would donate a kidney only out of affection, merely closes all possibilities to find a donor. India is country with a populace which is mostly fanatic (not the religious kind). Therefore for celebrities and political leaders it is easier to find a voluntary donor out of their huge fan base. This is precisely what happened with our EAM Sushma Swaraj. No sooner than she had posted on twitter about her ailment, twitter poured in with responses where people were willing to donate their kidneys for her treatment.

But for an ordinary person, it becomes next to impossible to find a donor who would donate the organ merely out of affection. Even if they find one, the official committee responsible to grant the permission is not convinced that the donee is willing to part with a vital organ only out of affection and not mercenary considerations. So after resting the legal complications much of the path ahead is rather easy. A donor is finalised only after the donor’s kidney matches the donee’s tissue type and blood type. The kidney transplant surgery takes about more than three hours. The new kidney usually begins to function right away. Konsult app has a host of nephrologists and surgeons who can guide you about the initial procedures. Every year a lot of foreigners from neighbouring countries and even the African continent flock towards india to get the transplantation done. India provides better infrastructure, facilities, experienced doctors and surgeons at a much affordable cost than the European countries. Konsult app also has International patient services where they take care of everything from the planning stage to follow up care. Everything is there on our website; you just need to explore the possibilities.

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