Renal Transplantation 5 Longterm follow up

LONG-TERM FOLLOW-UP

Patients   with  satisfactory  renal  function  can  usually   be

discharged from hospital 2 to 3 weeks after the operation.

Regular monitoring on a daily or alternate day basis is essential

during the first month after position.

A  live donor transplant offers a much greater chance of  success

than a cadaver graft

Excellent   results  can  be  expected  in  the  rare  cases   of

transplantation between identical twins.

However, with a kidney from and HLA identical sibling the  I-year

graft survival in most centres is over 90%

In  sibling  transplants  without complete HLA  identify  and  in

parent  to  child operations; the levels of  graft  survival  are

lower, but still around 75% at I year.

An  increasing  awareness of the potentially  lethal  effects  of

immunosuppression has led to a gradual reduction in the mortality

and morbidity of transplantation.

Today  2 year survival in 40-60 years recipients is 61%, 4  years

survival in the same age group is 71%. Survival in 15 to 45 years

stands at 90% at 86% at 2 and 4 years. This has been achieved  by

some supportive dialysis after transplantation when required.

ny questions be sent to drmmkapur@gmail.com

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