RENAL TRANSPLANTATION - AN EARLY EXPERIENCE.

Area of Science:

• Nephrology
• Transplantation immunology

Background:

• End-stage renal disease (ESRD) necessitates renal replacement therapy.
• Renal transplantation (RT) is the preferred treatment for ESRD.
• The Asvini Nephrology Unit initiated RT services in January 1991.

Purpose of the Study:

• To present early experiences with renal transplantation at Asvini hospital.
• To detail the protocol for patient screening, immunosuppression, and rejection management.
• To assess the relevance of RT protocols for the Armed Forces.

Main Methods:

• Review of 11 renal transplant cases performed between January 1991 and December 1993.
• Analysis of patient screening, immunosuppressive regimens, and rejection episode management.
• Evaluation of post-transplant outcomes and complications.

Main Results:

• A total of 11 renal transplants were performed.
• One patient (approximately 9%) expired 18 months post-transplantation due to infection.
• The study outlines the established protocols for RT at the institution.

Conclusions:

• Early experience demonstrates the feasibility of renal transplantation.
• Careful patient selection and management are crucial for successful outcomes.
• The findings have implications for renal replacement strategies within the Armed Forces.