PRACTICAL GUIDE TO KIDNEY TRANSPLANTATION (HB 2025)

Kidney transplant is the most performed transplant surgery throughout the world. With the advent of newer immunosuppressive drugs and induction agents, the rejection rates have decreased leading to longer survival of the kidney grafts and recipients. Xenotransplant and graft tolerance are the much awaited, but possible looking landmarks in coming years. Multiorgan donation from high KDPI (extended criteria donors) and DCD (donation after cardiac death), HCV donors help bridge the gap between demand and supply of the organs. Kidney transplant is in its most exciting and established era. The Indian perspective of kidney transplant faces many challenges. We do not perform more than 15,000 transplants/year in comparison to 1 lac new CKD patients added to the waiting list yearly. Still, most of our kidney transplants are by live donation. Our deceased organ donation rate is still below 1 per million population. Although kidney transplant remains the domain of urologists , many urology centers lack a kidney transplant program. Thus, the newly trained urologist grossly misses basic training in kidney transplant and vascular access. Ultimately that will reflect inadequate centers offering transplant services in 2 tier and 3 tire cites. Despite the current rise in dialysis centers, adequate number of transplant centers are still lacking in India. The basic concept of writing this book is to provide basic and practically oriented tips regarding kidney transplant. We feel this book helps students and freshly passed urologists and nephrologists to have a better understanding of kidney transplant. This book is an attempt to cater to this need. It covers many practical aspects of transplant including immunology, donor nephrectomy surgeries (open, laparoscopic, robotic approach), recipient surgery (open and robotic), how to start this program at your institute, transplant surgery armamentarium, medicolegal aspects, pediatric transplant, anesthesia aspects and many more. Simple but methodical way of chapter layouts and very expressive approach of the most experienced transplant surgeons in this field shall help budding urologists to aspire to be kidney transplant surgeons. Editors and publishers have done their best to bring out the most recent and relevant facts of kidney transplant, but we are very much open to suggestions and improvements.

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