Robotic Assisted Kidney Transplantation

INTRODUCTION

In India, there are more than one million cases of Chronic Kidney Disease (CKD) every year. Therefore, it is of utmost importance that one must regularly consult the best kidney doctor in Delhi periodically. Visiting the best kidney specialist in Delhi periodically gives you the advantage of recognizing the symptoms of kidney diseases, if any, at a very early stage. This way the symptoms can be treated much faster and in a much easier way.

UTI and HOW TO PREVENT RECURRING UTI

Urinary tract infections can be prevented from recurring by recognizing its symptoms and visiting the best kidney specialist in Delhi as early as possible. One must follow what the doctor says and take the prescribed medicines at time. Also, bladder must be released as frequently as possible, especially before going to sleep. Research shows that cranberry juice also helps with UTIs as it prevents growth of bacteria in the urinary tract.

CHRONIC KIDNEY DISEASE

There are more than one million cases of CKD every year in India. The main function of kidneys is filtering waste and excess fluid in the body. With passing time, kidneys fail to function properly. This causes waste to accumulate causing other symptoms in the body.

SIGNS AND SYMPTOMS OF CKD

As kidney starts failing other functions of the body is also affected. Blood pressure goes up as there is excess amount of fluid in the system. Accumulation of Potassium and Urea. It also causes anaemia due to deficiency of Iron.

If you notice any of the above symptoms then you should visit the best kidney doctor in Delhi. The best kidney specialist in Delhi will help you with the best approach towards the treatment for the condition.

KIDNEY TRANSPLANT IN DELHI

Traditionally, kidney transplant in Delhi is carried out through an incision in the lower abdomen. The length of the wound varies depending on surgeon's preference and the body habitus of the patient. In general, obese recipients require larger incisions. Similarly, in children, compared to body size, larger incisions are placed for kidney transplantation.

Several risk factors for wound related problems are already known like obesity, diabetes mellitus, smoking, etc.

Transplant patients have additional risk factors like use of immunosuppressant and additional comorbidities.

In general, larger wounds are associated with more wound related problems in terms of more pain, longer convalescence and postoperative recovery, poor cosmesis and higher chances of wound infection(especially with immunosuppression).

MINIMALLY INVASIVE SURGERY

It include laparoscopic and Robotic assisted kidney transplant are feasible.

ADVANTAGES OF DA VINCI ROBOTIC SURGICAL SYSTEM OVER LAPAROSCOPY

  • Three-dimension vision,
  • Control of the camera by surgeon,
  • Articulated wristed instruments with 7° of movements leading to ease of suturing,
  • Eliminates human tremor-an essential requirement for performing a good vascular anastomosis.
  • Precise and fast suturing

LIMITATIONS OF ROBOTIC ASSISTED KIDNEY TRANSPLANT

  • Cost of the operative procedure was high compared to open Kidney Transplant.
  • Operative time was greater than standard open kidney transplantation

PATIENT ELIGIBLE FOR ROBOTIC KIDNEY TRANSPLANT

  • Chronic kidney disease requiring dialysis
  • Chronic Kidney disease with symptomatic uremia
  • Chronic kidney disease with GFR<20ml/min

PATIENT NOT ELIGIBLE FOR ROBOTIC KIDNEY TRANSPLANT

  • Previous major intra-abdominal surgery with high suspicion of intraabdominal adhesion
  • High risk patients
  • Second transplant
  • Highly sensitized patients

 

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