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Pediatric Kidney Transplant Surgery: What You Need to Know

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Pediatric Kidney Transplant Surgery: What You Need to Know:

A kidney transplant is a surgical procedure to remove a diseased or damaged kidney and replace it with a healthy one from another person. This can be done either through open surgery or laparoscopy.

In pediatric kidney transplant surgery, there are some specific considerations that need to be taken into account. In this blog post, we will discuss different types of pediatric kidney transplants, as well as the surgical procedures involved.

Symptoms of Pediatric Kidney Diseases

Congenital diseases of the kidneys in babies are sometimes discovered in utero, so doctors can know even before a baby is born that he or she may need a kidney transplant.  Other times, those abnormalities are not detected early, and children begin to develop symptoms of kidney disease over months or years. These symptoms can include:

  • Fatigue
  • Short stature
  • Not developing as expected for a child’s age
  • High blood pressure

When Is a Kidney Transplant Recommended for Children?

There are a few different reasons why a kidney transplant may be recommended for a child. The most common reason is when the child has renal failure, which means that his kidneys are no longer able to filter waste from the blood properly. Other reasons for pediatric kidney transplantation include congenital defects in the kidneys or damage to the kidneys from injury or disease.

Types of Pediatric kidney transplants

There are two kinds of pediatric kidney transplants depending on who donates the new kidney. Living donor transplants and deceased donor transplants

A living-donor transplant is when the kidney is donated by a family member or friend who is alive and healthy and has a compatible blood type with the child. It’s usually from a relative or close friend, but sometimes strangers also donate their kidneys.

A deceased-donor transplant is when the kidney is donated by someone who has died and whose organs have been matched with the child.  This requires people who need kidneys to put their names on a waiting list until a donor is found.

How Pediatric Transplant Procedure is performed

The surgical procedure for a pediatric kidney transplant is generally similar to that of an adult kidney transplant. The main difference is that the incisions are often smaller in children, as their bodies are still growing.

In the operating room the child will get general anesthesia to sleep during the operation. The surgeon will make an incision in the lower abdomen, and then connect the new kidney to the child’s blood vessels and urinary system. Then the new kidney’s ureter (a tube that carries pee from the kidney to the bladder) is connected to the bladder. The incision typically heals quickly, and the new kidney begins working within a few hours.

In the case of a living donor transplant, the kidney works usually before the patient is out of the operating room. In some cases, a drain may be used for a few days to collect fluid and check for any leaks.

What Happens After a Kidney Transplant?

After the kidney transplant, the child will spend a few days (or up to a week) in the hospital to recover. The child will be monitored closely to make sure there are no complications from the surgery, such as bleeding or infection and any other complications. They will also need to take immunosuppressant medications to help prevent rejection of the new kidney. With proper care and medications, most children who have a kidney transplant will go on to lead healthy lives.

Risks Involved in kidney transplant surgery in Children:

A kidney transplant is major surgery with many risks and potential complications. It is important that you understand all of the risks before making a decision.

Kidney transplantation is a life-saving treatment for children with end-stage renal disease, but it is important to understand that surgery comes with a number of risks. Some of the risks of kidney transplant surgery include:

– Infection

– Bleeding

– Blood clots

– Rejection of the new kidney

– Damage to the nearby organs

– Anesthesia complications

After being discharged from the hospital, the child will need to take immunosuppressant medications to help prevent rejection of the new kidney. They will also need to have regular blood tests and doctor’s appointments.  For the first couple of months after surgery, you should see the doctor often to make sure the new kidney is working well. If your child gets a fever or soreness in the area of the transplant, tell a doctor right away.  Dialysis, surgery, and immunosuppressant therapy can add stress to a child’s daily routine. Talk to your child about these changes and make sure to find time to do fun things together with family and friends.

In children, Immunosuppressant medicines can cause:

  • acne or having acne that gets worse
  • weight gain
  • mood swings and anxiety
  • trouble sleeping at night
  • problems with increased blood sugars (or diabetes)
  • high blood pressure
  • increased risk of infection.

Make sure not to change or stop any medicines without talking to your doctor or nurse. In some cases, medicines can be changed to ease the side effects and still be effective and safe. Talk to about the importance of taking all medicines as directed.  These are just some of the possible complications that can occur. It is important to talk to your doctor about all of the risks and potential complications before deciding if a kidney transplant is right for your child.

If you are considering a kidney transplant for your child, it is important to talk to your doctor about all of your options and what is best for your child’s individual situation.

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