Living Donor Renal Transplantation Our Experience in SIMS/Services Hospital, Lahore

Abstract

Kidney transplantation ¡s the treatment of choice for end stage renal disease (ESRD) patients. However organ shortage remains the central problem in kidney transplantation. To deal with the widening gap between supply and demand of organ for renal transplantations efforts to expand the organ donor pool have received increased attention. To solve this problem, we have initiated a living related and unrelated living donor programe using emotionally related persons, friends and well-motivated volunteers as organ donors. A total of 18 patients with live donor underwent kidney transplantation in Sims /Services hospital over a period from March 2006 to December 2006. The aim of study is to highlight the problems and identification of factors limiting the number of transplantation and further prospects of renal transplantation in Pakistan. The cause of ESRD was HTN 7 (38.89%). Chronic Glomerulonephritis 4 (22.22%) Calculus Renal failure 4(22.22%), and Diabetic Nephropathy 3(16.67%). The donor age ranged between 20-55 years (mean 28.39).The recipient age ranged 17-56 years (mean 32.73). Relationship of donor to recipient was sister 1(5.56%). 1st degree relatives 3 (16.7%), friends 4(22.22%), unrelated 10(55.56%). In our study graft survival was 88.89%, patient survival 94.45%. mortality 5.56%.Transplanted patient has to be better motivated to take medication regularly and get the investigations. It was observed that 1st degree relation are very limited source of donors in this part of the world and unrelated donors certainly encourage, transplantation.