KIDNEY TRANSPLANTATION

High success rate in long-term tracking

The long-term success rate is the best indicator for evaluating a transplant center. Effective evaluation of the patient before transplantation is the first step to success. Estimating concomitant medical and immunological risks in the evaluation of the patient before transplantation prevents undesirable results. The second step is an experienced surgical team using advanced surgical techniques. The success rate at Florence Nightingale Hospital is 99.8%. One year of survival is 97.4%, and the five-year success rate is 90%, so it turns out that the Renal Transplant Center at Florence Nightingale Hospital has a similar success rate to the most advanced kidney transplant centers worldwide.

Priority: Donor safety

Donor safety is the most important factor in transplantation with living donors. The donor is evaluated in detail, blood tests, radiological examinations and evaluation by specialists such as nephrologists, cardiologists and pulmonologists, are important steps in deciding whether or not a donor is healthy enough to give the gift of life.

The special surgical technique allows a safer intervention for donors. The post-operative hospitalization period is 2-3 days for donors, and of course, they are monitored.

Minimal pain and 3 days of hospitalization, it is easier to make the decision to donate a kidney to a loved one using endoscopic surgery.

Retroperitonoscopic nephrectomy of the donor allows minimally invasive technique with high level of safety for the donor.

Laparoscopic donor nephrectomy has become the gold standard for a nephrectomy of a living donor, as it leads to short covalescence and increased quality of life. However, intra-operative safety has been debated, as access to the peritoneum can cause complications. The retroperitoneal approach is less likely to injure the intra-abdominal organs because the peritoneum is not open. Manual donor-assisted retroperitonoscopic nephrectomy is an alternative approach that combines the safety of hand-guided surgery with the benefits of endoscopic techniques and retroperitoneal access.

The surgical experience of the Florence Nightingale Transplant Center was presented at international meetings in the USA and Europe.

The most modern Tissue Typing Laboratory in Turkey

The Tissue Typing Laboratory at Florence Nightingale Hospital serves many kidney, liver and bone marrow transplant centers in the region, as well as in Turkey. Advanced studies performed in the Tissue Typing laboratory have a great contribution to our success. They are able to care for beneficiaries with high kidney sensitivity as they have excellent support by monitoring specific donor antigens. Their modern Tissue Typing Laboratory is the major support in pre-transplant and post-transplant immunological assessment.

Pediatric Kidney Transplant

There are many causes of chronic kidney failure in children. But these causes are quite different from those of adults. Common causes of kidney failure in children are congenital kidney or urinary tract malformations, genetic / hereditary diseases, or diseases acquired late in childhood, usually due to certain abnormalities in the immune system. Regarding the stages of the evolution of renal failure, children will need different medications to stay healthy and to prolong the life of the kidneys. In the case of children with moderate to severe renal impairment up to the final stage of kidney disease (BRST), then they will need dialysis and possibly a kidney transplant.

Dialysis and transplantation are usually required if renal function is significantly reduced.

In children, dialysis is considered to be more of a temporary solution until a kidney transplant is available. For most, but not all, children, transplantation offers a better quality of life in the long run, better growth, and fewer lifestyle restrictions. Some children are transplanted before they need dialysis. This is known as a preventive transplant. Not all children are candidates for transplantation due to other medical conditions.

Donation with Pairs of Donors

The Florence Nightingale Kidney Transplant Center has been exchanging kidneys from donor pairs for many years. Kidney exchange from one donor pair occurs when a living kidney donor is incompatible with the recipient, exchanging kidneys with another donor / recipient pair. This paired kidney transplant allows two incompatible recipients to receive healthier, more compatible kidneys. All medically eligible donor / beneficiary pairs can participate in the kidney exchange program.

A two-way kidney exchange occurs when two donor / recipient pairs exchange organs for better compatibility. In more complex cases, additional donor / beneficiary pairs may be used.

Blood group incompatibility donation occurs when a transplant candidate receives a kidney from a living donor who has an incompatible blood group. To reduce the risk of rejection of donated organs, candidates receive special medical treatment before and after transplantation. This may involve resection of the transplant candidate’s spleen during transplantation.

A positive cross-compatibility donation involves a living donor and a transplant candidate, which is not compatible because the candidate has certain antibodies (a protein) that react immediately against the donor’s cells and lead to transplant failure. Thus, a special medical treatment (plasmapheresis and immunosuppressive drugs) is administered to prevent rejection.

This type of donation is usually considered when other donors are not compatible.

The First Step For Transplantation

First of all, you should call us for detailed information about your chances of a transplant. Once the initial contact is established, we will ask you to send us your medical reports.