Search all medical codes

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

  1. Anesthesia: General anesthesia is administered.
  2. Incision: A surgical incision is made in the lower abdomen.
  3. Kidney Placement: The donor kidney is implanted in the recipient's pelvis.
  4. Vascular Connection: Blood vessels of the donor kidney are connected to the recipient's blood vessels.
  5. Ureter Connection: The ureter from the donor kidney is attached to the recipient's bladder.
  6. 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.

Similar Codes