The kidney transplant operations in Israel has been low when compared with the other countries in the West. This is due mainly due to religious belief. Most of the people in Israel are Jewish, and Jewish law prohibits the act of donation of organs. But in 2008 new organ donation laws are formed to regulate the organ donation and kidney transplantation practices. These laws changed many things in the field of kidney transplantation.
One of the laws is made to solve the conflict between the need of same thing for two different patients that is if two patients needed similar kidney for kidney transplantation then the patient who has an organ donor card will be given the priority or the patient whose family have donated an organ in the past will be prioritized. The name of the policy was "don't give, don't get." These laws also define several terms such as brain death which indicates the death for every legal purpose. The law also provides various financial reimbursement to the people who have donated their kidney for all medical expenses because of the donation and also due to the time which is lost at work. After ten years of regulations of these laws, Kidney Transplantation has become an easier and cheaper practice in Israel.
There are a lot of kidney donors due to the benefits provided by the government. In Israel, the option of Dialysis is also available which is an alternative to kidney transplantation but this process can be inconvenient for the patient as they have to go every week to the hospital for treatment and in the long run, it can cost much more than kidney transplantation.
Israel is considered as one of the leading destinations for kidney transplantation. As per the policies of the average price in the country of Israel and the income of the local citizens, Israel is among the most expensive countries for having the kidney transplantation. For instance, the Sourasky Medical Centre which is a renowned medical centre for Kidney transplantation charges an average of $100.000 for the kidney transplantation. The cost of the kidney transplantation varies from country to country depending on their price policy and the income of the local citizens. These costs don't include the cost for examination of the patient before the kidney transplantation, and doctors perform a complete examination for 2–3 weeks before giving permission for the kidney transplantation.
There are many options when it comes to the treatment of a kidney that fails to maintain normal function in the body. Kidney transplant surgery is one of the most successful ways to restore normal functioning of the affected kidneys as it allows for an access to greater freedom and a better quality of life.
A kidney transplant patient is more likely to enjoy bouts of energy and follow the less strict diet as compared to patients who choose an alternative treatment.
The kidney performs several important functions in the human body. Even slight damage to the kidneys can, therefore, cause a lot of problems. When the kidney is rendered incapable of its main function, that is, removal of waste products from the blood, a condition called uremia develops.
Unfortunately, the symptoms of this condition do not develop unless 90 percent of the kidney is damaged. This is the time when an individual would require a kidney transplantation surgery or dialysis to restore the normal functioning.
There are several other kidney diseases that warrant the need for a kidney transplantation. Some of these conditions include the following:
Some of the common symptoms observed in the case of kidney diseases include the following:
The kidney transplant surgery is performed under the influence of general anesthesia. The operation can range from two to four hours. Since the kidney is placed in a different location than where it naturally exists, this kind of procedure is called a heterotypic transplant.
This is unlike liver and heart transplant surgeries during which the organ is placed in the same location after removing the diseased organ. Thus, in the case of a kidney transplant, diseased kidneys are left in its original position.
During the kidney transplant procedure, an intravenous line is initiated in the hand or arm and catheters are connected to the wrist and neck to check the blood pressure, heart status and take samples of blood. Groin or region below the collarbone can also be used for insertion of catheters.
The hair is shaved off or cleared in the region of the surgical site and a urinary catheter is inserted into the bladder. The patient is positioned on the operating table lying on their back. After the administration of general anesthesia, a tube is positioned into the lungs through the mouth. This tube is attached to a ventilator so that the patient can breathe during the surgery.
The anesthesiologist closely monitors the blood oxygen level, breathing, heart rate and blood pressure. The site of the incision is cleaned with an antiseptic solution. A long incision is made by the doctor on one side of the lower abdomen. The donor's kidney is visually inspected before implantation.
Now the donor's kidney is placed in the abdomen. Usually, the left donor kidney is implanted on the right side and vice versa. This leaves scope to connect ureters with the bladder. To the external iliac artery and vein, the renal artery and vein of the donor's kidney are sewn.
The donor ureter is then connected to the urinary bladder of the patient. With surgical staples and stitches, the incision is closed and a drain is positioned at the incision site to prevent swelling. Lastly, a sterile bandage or dressing is placed.
After the surgery, close monitoring of the functioning of transplanted kidney and signs of adjustment, rejection, infection, and immunosuppression is done. Almost 30 percent of the cases experience a few side effects related to organ rejection and it usually happens within a period of 6 months. In some cases, it can even happen years later. Quick treatment can negate and fight rejection in such cases.
Immunosuppressive agents that fight rejection prevent this from happening. These medications have advised to the transplant patients for their lifetime. The kidney transplant success rate is challenged if these medications are stopped. A combination of drugs is usually recommended
It takes around two to three days for the recipient to be discharged from the hospital after the surgery. The patient is encouraged to take small steps and start walking and moving a bit. Kidney transplant recovery period lasts for around two to three weeks of the surgery, after which the patient may return back to normal life.
A patient looks for four key points before choosing a country for the kidney transplantation. They are mentioned as below:
The rate of success of the surgery.
The price should be affordable without any quality loss.
The experience of the surgeon performing the kidney transplantation.
The reviews which are given by the patients who have already undergone the kidney transplantation.
In Israel, all the four criteria have been met with excellent standards except the price of the kidney transplantation. But the success rate of the kidney transplantation operation fills this gap of higher cost than other countries. There are lots of experienced surgeons in Israel as over 280 kidney transplantations using living donor and more than 200 kidney transplantations using cadaver-donor are performed by the experienced surgeons in the hospitals of Israel, the data is validated by the National Organ Transplant Centre.
The cost for the kidney transplantation is about 5–6 times higher than the cost of kidney transplantation in India or Turkey, but this cost is on the same level as the cost of kidney transplantation in other European countries. These cost of the kidney transplantation are decided by the average price policy in Israel and the income of the local citizens. The average cost of the kidney transplantation in Israel is $100,000.
There are good care centres and medical centres in Israel which have very good and experienced surgeons for performing kidney transplantation. The Sheba Organ Transplant Centre at the Sheba Medical Centre is one among the renowned centres for the kidney transplantation. Another excellent medical centre for successful kidney transplantation is the Sourasky Medical Centre.
The success of a kidney transplantation operation depends on a lot of factors like the condition of the patient before the transplantation, the age of the donor and the recipient, race, and gender of the recipient, information about the previous treatment performed on the recipient. The survival rate in Israel after the kidney transplantation operation is 84–91%. One of the main factor contributing to a good success rate of kidney transplantation in Israel is a competent and good examination of the functions of a recipient's body.
The Sourasky Medical Centre is situated in Tel Aviv, and it is considered as one of the best facilities for kidney transplantation. The city of Ramat Gan is also a prominent city containing good facilities for the kidney transplantation procedure among the patients.
Not only the doctors, the hospitals in Israel follow a strict protocol while selecting medical staffs, which is why, the quality of even the support staffs remain incomparable. The support staffs are also trained to handle emergency situations as well as critical cases with umpteenth care so as to ensure complete healthcare to the candidate undergoing minor to major procedures.
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