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CHAPTER 5









             TRANSPLANT PROCEDURE


                              AND FOLLOW-UP






        PREPARING FOR A KIDNEY TRANSPLANT
                  hen you receive a phone call, to tell you that a potential suitable deceased donor transplant is
                  available for you, you must make your way to Beaumont Hospital as quickly as possible. Bring a
        Wbag with a change of clothes, toothbrush, toiletries, pyjamas, and whatever you may need during
        your stay. You must not eat or drink from the time you are told to come to Beaumont, as you must be
        fasting prior to surgery. Please note that when you are called for a transplant there is no guarantee that
        you are going to receive a kidney. There will be a number of further tests that will need to be done. These
        tests might show that this particular kidney is not suitable for you.
           After you arrive, at Beaumont you will have a number of tests, including blood tests, an ECG and a chest
        x-ray. You may also need to have a dialysis session prior to the surgery depending on when you were last
        dialysed and your blood test results. If you are on peritoneal dialysis, you will be asked to drain out your
        fluid.
           The kidney transplant operation has been perfected over many years. All adult kidney transplants, in
        Ireland, are performed in Beaumont Hospital and all children’s kidney transplants are performed in the
        National Children’s Hospital, Temple Street by the Beaumont transplant surgery team.

                                                                 WHAT HAPPENS DURING THE
                                                                 OPERATION?
                                                                   The transplanted kidney is placed in a
                                                                 different location to your existing kidneys. It will
                                                                 be placed in the right or left side of your lower
                                                                 abdomen, just above the hip bone. The arteries
                                                                 of the new kidney are connected onto the blood
                                                                 vessels, going to your legs, and the tube from
                                                                 the new kidney is connected to your bladder. The
                                                                 transplant operation takes about 3 to 4 hours.


                                                                 AFTER THE OPERATION?
                                                                   After the operation, you will be taken to the
                                                                 specialist high dependency transplant ward for
                                                                 the first 5 to 7 days. When you wake up after the
                                                                 operation, you will have a number of tubes
                                                                 connected to you. You will have a tube in your
                                                                 bladder called a catheter and a number of drips
                                                                 in your arm or neck, supplying you with fluids.
                                                                 Also you will have oxygen supplied to you by a
                                                                 mask.


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