About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Kidney Transplant by Day Better, Study Says

by Gopalan on July 15, 2008 at 8:24 PM
Font : A-A+

 Kidney Transplant by Day Better, Study Says

Kidney transplants should be carried out during the day if possible, suggests a German study.

For operations carried out at night require a further operation more than twice as often as other operations. Moreover, the risk of premature failure of the transplant is higher with operations taking place at night, according to a survey just published by urologists and internists at the University of Bonn (Transplantation Proceedings, vol. 40.)

Advertisement

The reason is probably that the surgeon is more alert and focused during the day. Particularly with a complicated procedure such as a transplant, surgical skill is a critical factor for success. Still, currently every third kidney transplant is performed at night, as donor organs should be as fresh as possible.

The medics from Dr. Guido Fechner and Professor Stefan Müller's Bonn team scrutinised a total of 260 kidney transplants. Over 60 per cent had been carried out during the day, the remainder between eight in the evening and eight o'clock in the morning. More than 16 per cent of all the 'night kidneys' had to be operated on a second time in the month following the transplant due to surgical complications. With the 'day kidneys', the complications rate was significantly less, being over six per cent.
Advertisement

On average transplanted kidneys last nine years, but there are also transplants that still work well after more than 20 years. The time when the operation took place here too seems to be a critical factor. 'For "day kidneys" there is a higher than 90 per cent chance that they will function flawlessly even five years after the transplant,' Dr. Guido Fechner explains. 'With "night kidneys" the figure is only 80 per cent.'

The reason presumed for this is that kidney transplants are comparatively complicated procedures. Accordingly, they require a brain that is alert. However, the donated organs are often transplanted during the night shift. 'It was long believed that kidneys had to be as fresh as possible, at all cost, for the transplant to be successful,' Guido Fechner says.

It is currently perceived as ideal if the organ is reinserted 18 hours after its removal at the latest. 'Rescheduling a kidney transplant within this time frame, say from 5 a.m. to 8 a.m., without the transplant suffering, is definitely feasible,' he emphasises. 'Instead operations are performed as early as possible, even if that means the urologist has to work at night.'

An alternative is a living kidney donation during which the kidney is taken from a living donor and is immediately inserted into the recipicent. This always happens during the day.



Source: Medindia
GPL
Advertisement

Advertisement
Advertisement

Recommended Reading

Latest Organ Donation News

 COVID-19 Positive Donor Hearts Lower Survival in Transplant Patients
An analysis of data from donors suggests donor hearts from patients who were COVID-19 positive could place transplant patients at increased risk of mortality.
 Clinical Trial Suggests Paradigm Shift for Lung Transplantation
Patients subjected to delayed transplantation using 10°C static lung preservation had a better outcome compared to patients transplanted performed using standard methods.
New Method to Treat Chronic Transplant Rejection Discovered
Researchers are hoping to test the antibody IL-15 in organ transplant patients to reduce chronic organ rejection.
 Identifying Patients Who Need Liver Transplants Faster
Research may speed the identification of patients who need liver transplants by analyzing blood samples to look for biomarkers associated with liver failure.
How Can T Cells Help Prevent Marrow Transplant Complications?
The discovery of T cells involvement in graft-versus-host disease is a vital step in finding more effective life-saving treatments for bone marrow transplant.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

Kidney Transplant by Day Better, Study Says Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests