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Through Jupiter Foundation, we ensure world class health care for the people that are economically challenged. Jupiter Foundation works on the philosophy of putting the patient first in everything.
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At Jupiter, we believe there is a better path to healing that humanizes the practice of health care and inspires hope in the Patient & family who need it most. Our primary value – The needs of the patient come first – is at centre of our plans and decisions. You'll also find that our pride – in where we work, and in what we do – is a common trait. You will be truly part of an amazing team committed to solving the most serious and complex medical challenges.
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Pre Transplant in Dombivli
Before proceeding with kidney transplant treatment in Dombivli, a detailed evaluation is carried out to assess the patient’s medical fitness and the technical feasibility of the transplant surgery. This process helps identify active infections or associated medical conditions such as advanced age, heart disease, or liver disorders that may affect long-term survival after transplant. In some cases, corrective treatment is required before surgery, and in select situations, a combined organ transplant may be considered.
The evaluation includes a detailed review of medical history, physical examination, and assessment of the underlying kidney disease to determine the risk of recurrence in the transplanted kidney. At a specialised kidney transplant hospital in Dombivli, cardiologists examine the heart to identify and manage any pre-existing cardiac conditions before transplant. Pulmonologists assess lung function to confirm suitability for anaesthesia and exclude active respiratory infections.
Urologists evaluate bladder capacity, urinary flow, presence of kidney stones, and the condition of blood vessels required for surgical connection of the donor kidney. For female patients between 21 and 65 years of age, cervical cancer screening is performed, and mammography is advised for women above 40 years to screen for breast disease.
Psychiatric assessment focuses on psychological readiness, financial stability, and behavioural factors that may affect long-term treatment adherence. Dental, dermatology, and ENT evaluations are also conducted to identify and treat any hidden sources of infection before transplantation.
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Laboratory Evaluation
A comprehensive set of laboratory tests is performed to ensure transplant readiness:
- Blood group (ABO): To confirm donor and recipient blood group compatibility
- Complete Blood Count (CBC): To assess anaemia and plan treatment before surgery
- Urine routine and culture: To detect urinary infections and measure protein loss
- Liver function tests: To rule out liver-related disorders
- Blood glucose levels: To detect diabetes and assess sugar control
- Lipid profile: To identify abnormal cholesterol levels
- Renal function tests: To evaluate electrolyte balance and general fitness
- PT / PTT / BT: To rule out bleeding and clotting disorders
- HBsAg, HCV, HIV, EBV, CMV IgG: To screen for viral infections and plan preventive care
- Tissue typing (HLA): To assess donor–recipient compatibility
- Lymphocyte cross-match: To detect antibodies that may cause rejection
- Uroflowmetry with post-void residue: To assess bladder function and obstruction
- CT scan (plain) / iliofemoral vessel Doppler: To assess kidney stones and blood vessel condition
- Gastrointestinal endoscopy: Performed in selected patients with bleeding risk or ulcer history
Donor evaluation
If a suitable donor is available, a pre-emptive kidney transplant may be considered for patients aged 18 to 65 years, preferably before long-term dialysis begins. Pre-emptive transplants are associated with better outcomes and reduced overall treatment costs. Donors undergo a complete medical evaluation, during which both short-term and long-term risks are explained clearly.
Advances in medical treatment now allow kidney transplants across ABO blood group barriers using immunosuppressive medication. Although this approach may involve higher risk and cost, it offers an alternative when compatible donors are unavailable. Paired or swap kidney transplants may also be considered.
Compatibility testing and cross-match testing are mandatory under the Human Organ and Tissue Transplant Act (HOTA) to assess immunological safety.
Medical Assessment of the Donor
The donor evaluation ensures that the individual is physically and mentally fit and does not have conditions such as kidney disease, diabetes, hypertension, or infections that could be transmitted to the recipient. Doctors also confirm that kidney donation will not pose short-term or long-term health risks to the donor.
Key donor investigations include:
- Cardiac evaluation: ECG, 2D echocardiography, and cardiac stress testing
- Pulmonary evaluation: Chest X-ray, arterial blood gas analysis, and lung function tests
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