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Renal allotransplantation, implantation of graft; without recipient nephrectomy
CPT4 code
Name of the Procedure:
Renal allotransplantation, implantation of graft; without recipient nephrectomy
Summary
Renal allotransplantation involves transferring a kidney from a donor to a recipient to replace the recipient's malfunctioning kidney. In this particular procedure, the recipient's existing kidneys are not removed.
Purpose
This procedure addresses chronic kidney failure and end-stage renal disease. The goal is to replace the faulty kidney with a healthy donor kidney to restore normal kidney function, improve quality of life, and prolong the recipient's lifespan.
Indications
- Chronic kidney failure
- End-stage renal disease
- Ineffective dialysis
- Severe kidney-related complications
Patient criteria:
- Suitable for surgery
- Compatible donor match
- Absence of severe heart or lung disease
Preparation
- Fasting: No eating or drinking for 8-12 hours before surgery.
- Medications: Adjust as directed by the healthcare provider.
- Diagnostic tests: Blood tests, imaging scans, and pre-surgical evaluations.
Procedure Description
- Anesthesia: General anesthesia is administered.
- Incision: A surgical incision is made in the lower abdomen.
- Kidney Placement: The donor kidney is implanted in the recipient's pelvis.
- Vascular Connection: Blood vessels of the donor kidney are connected to the recipient's blood vessels.
- Ureter Connection: The ureter from the donor kidney is attached to the recipient's bladder.
- Closure: The incision is closed with sutures.
Duration
The procedure typically takes 3 to 4 hours.
Setting
The procedure is performed in a hospital operating room.
Personnel
- Surgeons
- Anesthesiologists
- Surgical nurses
- Transplant coordinators
Risks and Complications
- Common: Infection, bleeding, blood clots.
- Rare: Rejection of the donor kidney, delayed graft function, complications from anesthesia.
Benefits
- Improved kidney function
- Enhanced quality of life
- Potentially longer lifespan Benefits are generally realized within weeks to months as the new kidney begins to function.
Recovery
- Hospital stay: 5-10 days.
- Post-procedure care: Monitoring kidney function, medication adherence (immunosuppressants).
- Recovery time: Several weeks to a few months.
- Restrictions: Avoid heavy lifting, strenuous activities; follow-up appointments are crucial.
Alternatives
- Hemodialysis: Continues blood filtration with a machine.
- Peritoneal dialysis: Uses the lining of the abdomen to filter blood.
- Pros and cons: Dialysis can be life-sustaining but doesn’t restore normal kidney function.
Patient Experience
- During the procedure: Under general anesthesia, no awareness or pain.
- After the procedure: Post-operative pain managed with medication, initial discomfort at the incision site, gradual improvement as healing progresses.