Once a donor is evaluated, and the recipient is fit and prepared-made medically fit by treating nephrologist, there will be a meeting between recipient, donor, relatives, surgical and medical team. Anesthesia team will again re-examine all documents and explain in detail the plan. The transplant coordinator will help to prepare legal documents to apply for permission as per HOTA to the local,/ state level/, central level authorization committee.
The recipient, donor, and relatives will have to attend committee meetings. All your documents will be reviewed and assessed that there is no commercial interest in transplant and there is no money transaction, sale/buying of kidney between the recipient and donor. Committee will approve/disapprove the surgery and donation. Once the committee has approved, you will be posted for kidney transplant surgery.
Patients whose kidney has failed will need to dialysis for their entire life until they get a kidney transplant. Life expectancy on dialysis may vary depending on the other medical conditions and how well the patients follow their treatment plan. The average life expectancy of a patient on dialysis is 5-10 years; however, many patients have lived quite well on dialysis for 20-30 years. One of the reasons for the short survival is that most patients with kidney failure are relatively older. The benefit of transplants is much better in younger patients, and a living donor kidney transplant is more beneficial than a deceased donor transplant.
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