Transplant Surgery

Transplant Surgery Explained, Including Pre-surgery and Post-surgery Activities

Your assigned transplant surgeon and his nurse will meet with you by video to review your second opinion results. He will answer your questions. If surgery is needed, and you are considering surgery in the United States, be sure to let him know.

Read below to gain a detailed understanding of the surgery process.

Abstract

Transplant surgery involves replacing a failing or damaged organ with a healthy one from a donor. Common types of transplant surgeries include kidney, liver, heart, lung, and pancreas transplants.

Types of Transplant Surgeries

  1. Kidney Transplant: Replacement of a failing kidney with a healthy one from a living or deceased donor.
  2. Liver Transplant: Replacement of a diseased liver with a healthy liver from a deceased donor or a portion from a living donor.
  3. Heart Transplant: Replacement of a failing heart with a healthy heart from a deceased donor.
  4. Lung Transplant: Replacement of one or both diseased lungs with healthy lungs from a deceased donor.
  5. Pancreas Transplant: Replacement of a diseased pancreas, often performed alongside a kidney transplant.

Pre-Surgery Activities

  1. Evaluation and Listing:
    • Medical Evaluation: Comprehensive tests to assess overall health and suitability for transplant.
    • Psychosocial Evaluation: Assessing mental and emotional readiness for the transplant process.
    • Transplant Listing: Placement on a transplant waiting list based on urgency and compatibility.
  2. Living Donor Evaluation (if applicable):
    • Health Screening: Thorough medical tests to ensure the donor is healthy and compatible.
    • Psychological Evaluation: Ensuring the donor is mentally prepared for the donation process.
  3. Preoperative Preparation:
    • Informed Consent: Understanding the risks, benefits, and process of the transplant surgery.
    • Pre-Surgery Tests: Blood tests, imaging, and other necessary evaluations to ensure readiness.
    • Diet and Lifestyle Adjustments: Specific instructions to optimize health before surgery.
  4. Hospital Preparations:
    • Admission Planning: Understanding the admission process and preparing necessary documents and personal items.
    • Emergency Plan: Being ready for a call when an organ becomes available, as transplants can happen on short notice.

Post-Surgery Activities

  1. Immediate Postoperative Care:
    • Intensive Care Unit (ICU): Initial recovery and close monitoring in the ICU.
    • Pain Management: Administration of pain relief medications.
    • Fluid and Nutrition Management: Gradual reintroduction of fluids and foods.
  2. Hospital Stay:
    • Monitoring and Tests: Regular tests to monitor organ function and overall health.
    • Immunosuppressive Medications: Medications to prevent organ rejection.
    • Rehabilitation and Physical Therapy: Initial steps to regain strength and mobility.
  3. At-Home Care:
    • Wound Care: Instructions on keeping the surgical site clean and dry.
    • Medication Management: Strict adherence to immunosuppressive and other prescribed medications.
    • Diet and Lifestyle Adjustments: Following specific dietary guidelines and lifestyle changes to support the new organ.
  4. Follow-Up Care:
    • Regular Appointments: Frequent follow-ups with the transplant team to monitor recovery and organ function.
    • Blood Tests and Imaging: Regular tests to ensure the transplanted organ is functioning properly.
    • Monitoring for Rejection and Infection: Watching for signs of organ rejection or infection.
  5. Long-Term Management:
    • Ongoing Medication: Lifelong immunosuppressive therapy to prevent rejection.
    • Health Monitoring: Regular health check-ups to manage any long-term complications.
    • Support and Counseling: Emotional and psychological support to adapt to life post-transplant.

Understanding the specifics of your particular transplant surgery, including potential risks and expected outcomes, is crucial. Always consult with your healthcare provider for personalized advice and instructions.