54 year old Surender Yadav was admitted at Sarvodaya Hospita & Research Centre, Faridabad with the condition of cardiac arrest and later with the diagnosis it was found that Surender is taking up dialysis regularly. With further examination, it was found that his kidney condition is too bad to survive and needs immediate transplant. Unfortunately, the same blood group kidney was unavailable and the health condition was deteriorating. In that situation, his wife came as savior though her blood group was not same, the kidney was transplanted to Surender. He got the new lease of life from his wife Poonam under the expert team of Dr Sri Ram Kabra, HOD, Centre for Dialysis and Kidney Transplant and Dr Tanuj Pal Bhatia, HOD, Institute of Laser Urology. Sarvodaya Hospital, Faridabad marked Faridabad’s first ABO incompatible Kidney Transplant.
Traditionally, transplants have always required an exact blood match to have a chance of working. However, now it is no longer an essential criterion that blood group of donor and recipient should match while performing the kidney transplant. These days, ABO Incompatible blood type kidney transplants are a reality and we did it successfully Sarvodaya Hospital, Faridabad. Two to three weeks after the operation, the medications and treatment regimens are the same as for blood group compatible transplant patients, although such patients are more closely monitored post-transplant.,” said Dr Sri Ram Kabra.
Dr Tanuj Pal Bhatia said the number of kidney failure patients has been increasing across the world and kidney transplant is the only definitive treatment. “With this technique, it is possible to save countless lives,” he said and explained that to prepare for ABO incompatible transplantation, a simple blood test is performed to determine the amount of antibody in the bloodstream. Most people have a level of antibody that is treatable. Due to the new technique of immune conditioning, it is now possible to transplant organs across blood group barriers. It has come as a boon to patients who do not have any blood group compatible donors in family.
Dr Rakesh Gupta, Chairman, Sarvodaya Hospital , Faridabad added: “In these complex kidney transplants, a procedure is conducted wherein the antibodies are taken out of blood plasma of the recipient which is called plasmapheresis. This ensures that the recipient can receive a kidney from a relative with a different blood type and it will be accepted by his/her body without being rejected due to the harmful antibodies” we have one of the best plasmapharesis machines, which can cleanse all the anti-blood group antibodies effectively before and after the kidney transplant.” The next step in the process is to schedule kidney transplant surgery and finally give treatments for post-transplant to reduce blood group antibody, if it rises.