Rohtash, a retired Army man, was living a normal life until he was diagnosed with Advanced Kidney Failure in December last year. For three months the 52-year-old had travelled 240km up and down from his home, thrice a week, for crucial dialysis. However, when this became too much to bear, his 50-year-old wife, Rajo Devi, decided to donate her kidney to save her husband’s life. With a new Kidney Transplant division having started operations, doctors at Paras Hospitals took up the case in March. A team of doctors led by Dr Ajay Oswal and Dr. P.N Gupta decided to perform a Kidney Transplant with a difference. They found Rajo Devi to be a compatible and healthy donor. For the procedure, rather than the ‘usual’, where a Double J stent is implanted between the new kidney and the urinary bladder, the doctors, confident about their experience and expertise in this arena, decided to conduct the procedure without a stent.
Kidney Transplant is an end-stage solution, but is the best ‘treatment’ for kidney failure. It is performed when the kidney functions of a patient have completely failed. The procedure needs a high level of skill and precision. The life of a patient hinges on its success. “When he was diagnosed with Advanced Kidney Failure, Rohtash had no option but to undergo routine dialysis or artificial cleansing of the blood, thrice a week. His long travels for undergoing dialysis had worsened his general health. When he approached us he had lost weight, looked tired and weary, and was eager for a permanent solution,” said Dr P.N Gupta, Senior Consultant, Nephrology & Transplant Physician. The patient underwent a Kidney Transplant on March 16. “Usually when a Renal Transplant is conducted, surgeons place a prophylactic stent between the new kidney and the urinary bladder, to support the organs. This creates two complications. First, it increases the risk of infection, and secondly it needs a revision procedure to remove the stent when its job is over. Since we had a high degree of expertise and were confident of the procedure, we decided to do away with the stent, to help minimise the risks,” added Dr Ajay Oswal, Senior Consultant, Urologist & Transplant Surgeon. The patient started passing urine at the rate of 1 liter/hour immediately after the surgery, and his S. Creatinine (marker of Kidney function) dropped to 1 mg/dl (from earlier 6 mg/dl) on Day 2 of Surgery. He also started sitting and taking a few steps on Day 2. By the third day he had started walking comfortably and was beginning to feel normal. To his relief, by the fourth day his appetite returned and he started regaining his lost energy. He was discharged on the eighth day, with the turmoil of the past three months well behind him. His wife and saviour, Rajo Devi, too did well and was discharged on the fifth day. This case is a rare surgical success in Delhi-NCR.
Kidney failure is a dangerous condition, since currently it cannot be medically reversed. Another pertinent issue in India is the paucity of donors. A person who suffers loss of kidney function needs to be very careful about maintaining his/her health. Life can become very difficult. Rohtash, however, was lucky. He is doing well. He feels that he has got a new lease of life.