Department of Nephrology and Transplantation Medicine Facilities & Dialysis
After relocating to the new IKDRC and ITS building in the Manjushree mill compound, we now have a separate wing for in-centre and outpatient hemodialysis located on the second floor. The hemodialysis unit is nearly 100 bedded with a separate 5 bedded facility for peritoneal dialysis. We have performed a total of 11016 procedures in 2024 for the purposes of administering renal replacement therapy. Of these, nearly 320 were peritoneal dialysis catheter insertions. We administered nearly 104700 sessions of hemodialysis at IKDRC and ITS up till December, 2024.
This institute has 2 SLED and 4 CRRT machines in ICU. We also have 2 functioning online HDF machines, one for dedicated in-centre hemodia-filteration and the for outpatient HDF.
Native Kidney Biopsy
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| As time went by, we improvised upon our biopsy program and today we have one of the biggest and best programs in the country with about 1112 native biopsies and 656 renal allograft biopsies performed every year. |
Live Related Transplantation
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Renal transplantation program began in 1979. However initially we were heavily dependent upon surgical skills of friends from McMaster University, Canada and a few other Indian friends. Our first team was trained in 1979. Initial program was erratic and we did not have good results measured in terms of graft and patient survival.
As we moved in to the new premises in 1992, we consolidated our efforts towards improving upon our skills and quality care. Our initial transplantation program had about 40 transplants a year. We had a major breakthrough in 1998 with our research translated in to clinic. It was actually encouraging tips from Prof.
Thomas Starzl and Prof. John Dossetor in 1996 which geared us towards better performance. Today, we can boast to have one of the best transplantation programs of the world and we are pioneers in achieving prope tolerance (achievement of early stable graft function with minimum / no acute rejection episodes using very low dose and minimum number of immunosuppressants) and robust tolerance in renal transplantation. Over the last two decades we have performed 7680 live related renal transplants. A total of 443 renal transplant surgeries were performed successfully in 2024, of which 134 were from deceased donors.
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Deceased Donor Organ Transplantation
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Cadaver transplantation has always been the express need of Indian patients for a very long time. Patients with end stage renal disease now being identified at an alarming rate of 150 new patients per million every year; are ever increasing in the long waiting lists of patients in need of organs for transplantation.
The reasons are numerous, ranging from genuine non-availability of donors from the families to inherited diseases to non-willing members of the family to donate kidney. The Human Organs Transplantation Act was passed by the Indian parliament in 1994. This act provided the new legal definition of brain death.
Health is state matter therefore the legislative assembly of Gujarat state adopted this legislation 1997. This allowed us to establish renal cadaver transplantation program. So far we have performed 1538 cadaver renal transplants.
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