Kidney transplantation from a living donor
Kidney transplantation from a living donor provides significantly better results than from deceased donors. The option of undergoing transplantation before initiating dialysis is one of the advantages of this approach. Both the donor and the recipient are closely examined and assessed for their health condition and mutual matching to ensure the most acceptable risk and benefit. The transplantation procedure is done simultaneously with the donor surgery in order to minimise the time when the collected kidney is outside a body and its blood circulation is absent. Kidney transplantation from a living donor is virtually identical to kidney transplantation from a deceased donor in terms of the technique. During the transplantation procedure the kidney is placed in the right or left iliac fossa. Blood vessels of the transplanted kidney are connected to blood vessels of the pelvis of the recipient and the ureter is connected directly to the urinary bladder. The surgery usually lasts about one to two hours. Mobilisation is started early after the surgery, usually from the very first postoperative day. Most commonly, the urinary catheter inserted during the surgery is removed on the second postoperative day. Provided that no complications occur, the total length of stay is 12-14 days on average.