Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
Advanced search 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 3319 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

Year : 2010  |  Volume : 21  |  Issue : 3  |  Page : 559-564
Renal transplantation in Nepal: The first year's experience

1 Urology Unit, Department of Surgery, Tribhuvan University Teaching Hospital, Maharajgung, Kathmandu, Nepal
2 Nephrology Unit, Department of Medicine, Tribhuvan University Teaching Hospital, Maharajgung, Kathmandu, Nepal
3 Department of Surgery, Royal Melbourne Hospital, Melbourne, Australia

Correspondence Address:
Pawan R Chalise
Urology Unit, Department of Surgery, Tribhuvan University Teaching Hospital, Maharajgung, Kathmandu, Nepal

Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 20427894

Rights and PermissionsRights and Permissions

A successful renal transplantation service was started in Nepal at the Tribhuvan Univer­sity Teaching Hospital in August 2008, and a continuing regular service is being provided currently to needy people. We report here our experience in thirty five end stage renal disease patients who re­ceived kidneys from close relatives during a one year period. The mean age of donors was 46.7 years. Seventeen (49%) donations were from parents, 13 (37%) from spouses, four (11%) between siblings and one (3%) between mother and daughter in law. Although the left kidney was given preference, right sided donor nephrectomy was needed in five (14%) cases. Six (17%) donors had minor post­operative problems. The mean age of recipients was 33.2 years, four (11%) of whom had pre-emptive renal transplantation. Recipients were immunosuppressed with dacluzimab, prednisolone, mycophena­late, and cyclosporine or tacrolimus. The average time taken for graft implantation was 137 minutes. The mean cold ischemia time and second warm ischemia time were 133 and 36 minutes respectively. Four (11%) patients developed urinary tract infection, three (9%) had significant hematuria, one (3%) developed a peri-transplant abscess, and one (3%) had ureteric ischemia and urine leak which required re-exploration in the early post-operative period. Four patients (11%) developed acute rejection of which three were cell- mediated rejection and one was antibody-mediated. There were two (6%) deaths, one due to transplant-related sepsis and the other due to subarachnoid hemorrhage following rupture of a posterior communicating artery aneurysm. No kidney has been lost otherwise.

Print this article  Email this article

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded556    
    Comments [Add]    
    Cited by others 2    

Recommend this journal