Alzaytouna Specialist Hospital مستشفى الزيتونة التخصصي

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Alzaytouna Specialist Hospital مستشفى الزيتونة التخصصي Alzaytouna Specialist Hospital , Renal transplantation زراعة الكلى في السودان مستشفى الزيتونة التخصصي
زراعة الكلى في السودان
د. كمال أبو سن

22/11/2012

مرحبا بكم في مستشفى الزيتونة التخصصي قسم زراعة الكلى

Organization of Renal Transplantation Unit:
15/11/2012

Organization of Renal Transplantation Unit:

Pathway of Donor & Recipient Assessment
15/11/2012

Pathway of Donor & Recipient Assessment

Living Related Kidney Donor Evaluation Form:
15/11/2012

Living Related Kidney Donor Evaluation Form:

KiDNEY DONOR WORK UP form
15/11/2012

KiDNEY DONOR WORK UP form

15/11/2012

PATHWAY FOR ADMISSION OF PATIENT FOR RENAL TRANSPLANTATION

1. All patients booked for renal tranplantation should go through this suggested pathway:

1.1. On Thursday present to OPD for:
1.1.1. For prescription of Immunosuppression medication by Nephrologist.
1.1.2. Review by Anesthiologist.
1.1.3. Meet the coordinator for preparation of blood donation.
1.1.4. Preparation for all papers for hospital admission (donor & recipient).
1.1.5. Obtained blood for final crossmatch.

1.2. On Monday:
1.2.1. Admission early morning.
1.2.2. Haemodialysis if necessary.
1.2.3. History and physical examination.
1.2.4. Repeat all investigations as protocol.

1.3. On Tuesday:
1.3.1. Early morning Surgery.

Mr.Kamal Abusin السيرة الذاتيةPERSONAL DETAILS:First Names: KamalSurname: AbusinDate of birth: January 1st, 1959Citizens...
15/11/2012

Mr.Kamal Abusin السيرة الذاتية
PERSONAL DETAILS:
First Names: Kamal
Surname: Abusin
Date of birth: January 1st, 1959
Citizenship: British
Occupation:
Consultant Surgeon
Marital status: Married
Address: 119 Eastern Road, Portsmouth,
Cell phones:
0044-7776608028 (UK)
PO3 6 EJ, UK 00249-912390005 (Sudn)
Email address: abusin1@hotmail.com
abusin100@gmail.com
PROFESSIONAL ACCREDITATION:
o DATE OF ENTRY INTO UNITED
KINGDOM SPECIALIST REGISTER: 30TH March 2000
o UK GMC FULL REGISTRATION NO: 4178901
o IRISH MEDICAL COUNCIL
REGISTRATION NO: 14834
o DATE OF ENTRY INTO SUDANESE
MEDICAL COUNCIL SPECIALIST
o REGISTER: 25th April 2004
o DATE OF ENTRY INTO NIGERIAN
MEDICAL COUNCIL REGISTER: 16th July 2002
REGISTER WITH DUBAI HEALTH CARE CITY, UAE
REGISTER ABUDABH HEALTH AUTHARITY, UAE
REGISTER WITH DUBAI HEALTH AUTHARITY

QUALIFICATIONS:
February 2000: FRCS (Gen- Surg) - Intercollegiate Exam.
February 1995: Diploma in Laparoscopic Surgery, Strasbourg, France.
March 1992: FRCS Ireland.
February 1992: FRCS Edinburgh.
May 1981: MBBS - University of Khartoum


MEMBERSHIP OF PROFESSIONAL BODIES:
o MEMBER OF BRITISH TRANSPLANTATION SOCIETY- BTS
o MEMBER OF BRITISH ASSOCIATION OF SURGICAL ONCOLOGY- BASO
o MEMBER OF EUROPEAN ASSOCIATION OF SURGICAL ONCOLOGY
o MEMBER OF MEDICAL DEFENCE UNION-MDU
o MEMBER OF BRITISH MEDICAL ASSOCATION- BMA
o Founder and secretary general of Dr Kamal Abusin Charitable Organization
o Author with weekly newspaper column, for the last 18 months
CURRENT POSITION:
From January 2009 To date: Consultant General Surgeon with special interest in Breast ,Pediatrics & Adults Renal Transplantation. (Part-Time) at Zytouna Specialist Hospital, Khartoum, Sudan Khartoum Southern Private Hospital, Kidney Transplant Patients association Charity Hospital, Khartoum North, Best Care Hospital, Zenam Specialist Hospital, Khartoum, Balsam Hospital, Khartoum, Alfoad Hospital, Khartoum, Sudan. For the last 10 monthes I have been in charge of Living related renal transplant program at Zytouna Secialist Hospital in Sudan, have performed so far 29 living related renal transplant with 100% recepient and donor survival and 94% graft survival.
LOCUM POSITION IN THE FOLLOWING UK HOSPITALS:
Royal Sussex Hospital, Brighton. Princess Royal Hospital, Howard Heath. Worthing Hospital, Worthing. Royal Surrey Hospital, Guildford. St. Peters Hospital, Chiresty. Maidstone Hospital, Maidstone. QEQM Hospital, Margate. Darent Valley, Dartford. Broomfield Hospital, Chelmsford. Wittington Hospital, London. Wexham Park Hospital, Slough. John Radcliff Hospital, Oxford. QE Hospital, Kings Lynn. Leeds General hospital, Leeds. Whykham Hospital, High Whykham. Princess Alexandra, Harrow.
PREVIOUS POSITION:
From October 2000 To June 2008 Consultant General Surgeon with special interest in Breast and Transplantation. Queen Alexandra Hospital and St. Mary’s Hospital, Portsmouth. Substantive post(Resigned 30th, July 2008)
SUPERNUMERARY POSITIONS:
o Honorary Consultant: Sudanese Renal National Transplant Programme.
o Honorary Consultant Surgeon in Transplantation: Amino Kano Teaching Hospital, Kano, Nigeria
o Visiting Consultant Surgeon in Transplantation: Sheikh Zayed Military Hospital, Abu Dhabi.
HONORARY ADMINISTRATIVE POSTS:
o Organiser of Clinical Meetings and Rota at South Tyneside & Sunderland Hospital
o Mess Treasurer at the Omdurman Teaching Hospital
o Secretary of the Medical Student Association
o President of the Hantoub High School Hostel
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EXPERIENCE IN THE UNITED KINGDOM AND REPUBLIC OF IRELAND

Position Department Hospital Consultant Total Period in Months Dates
Consultant Surgeon Transplantation
Breast and Endocrine Queen Alexandra & St. Mary’s Hospitals
Portsmouth Substantive Career Post July 2004 – to date
Visiting Consultant Surgeon Transplantation and Access Surgery Guys Hospital
London Mr Koffman
Mr Taylor
Mr Mamode
Mr Khan 11 months August 2003 -
June 2004
Consultant Surgeon Transplantation
Breast and Endocrine Queen Alexandra & St. Mary’s Hospitals
Portsmouth Substantive Career Post October 2000 - July 2003
Year 7
Specialist Registrar Transplantation &
Hepatobiliary Freeman Hospital, Newcastle Mr Thick
Mr Manas
Mr Talbot 12 months October 1999 -September 2000
Year 6
Specialist
Registrar General Surgery/Breast and Endocrine Queen Elizabeth Hospital,
Gateshead Mr Higgs
Mr Ashour 12 months October 1998 -
September 1999
Year 4-5
Specialist Registrar Transplantation
Hepatobiliary Freeman Hospital
Newcastle Mr Thick
Mr Manas
Mr Talbot
Mr Mirza 26 months August 1996 - October 1998
Year 3
Surgical Registrar General Surgery/Breast Sunderland Royal Hospital
Sunderland Mr Boobis
Mr Rich
Mr Lennox
Mr Sastin 12 months August 1995 - August 1996
Year 2
Surgical Registrar
General Surgery/Breast & Endocrine Queen Elizabeth Hospital
Gateshead Mr Higgs
Mr Cunliffe
Mr Baker
Mr Miller 12 months August 1994 -August 1995
Year 1
Surgical Registrar General Surgery/Breast South Tyneside District Hospital Mr Pritchett
Mr Attard
Mr Wynne
Mr Rogers 10 months October 1993 -August 1994
Surgical Registrar Vascular & Laparoscopic Surgery Central Middlesex Hospital Mr Newcombe
Mr Spegelman
Mr Darzi 4 months June 1993 - September 1993
------------
EXPERIENCE IN THE UNITED KINGDOM AND REPUBLIC OF IRELAND
Position Department Hospital Consultant Total Period in Months Dates
Surgical Registrar (Locum) General Surgery St Mary’s Hospital Newport, Isle of Wight Mr Walsh 2 months April 1993 - May 1993
Surgical Registrar (Locum) General Surgery Leicester General Hospital Mr Veitch
Mr Kelly 3 months January 1993 - March 1993
Surgical Registrar General Surgery Tralee General Hospital, Ireland Mr Splane
Mr McCormack 5 months August 1992 -January 1993
Surgical SHO General Surgery Tralee General Hospital, Ireland Mr Splane
Mr McCormack 21 months October 1990 -July 1992
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EXPERIENCE OVERSEAS:
Surgical Registrar General Surgery King Fahad Hofuf Hospital, Saudi Arabia Mr Haq
Mr Sharma
Mr Ahmed
Mr Agrawal 47 months November 1986 - September 1990
Surgical SHO General Surgery Tabat General Hospital, Sudan Mr Brar 26 months August 1984 - October 1986
Surgical SHO General Surgery Azazy General Hospital, Sudan Single Doctor Hospital 18 months February 1983 - August 1984
Urology SHO Urology Omdurman Teaching Hospital, Sudan Mr Gorash 8 months July 1982 -February 1983
Internship Surgery, Medicine, Obstetrics,
Gynaecology,
Paediatrics Omdurman Teaching Hospital, Sudan Mr Gorash
Dr Ali
Dr Bager
Mr Hamed 12 months July 1981 - July 1982
-------------
TRANSPLANTATION:
o To date I have performed over 650 renal transplantations. Over 383 of which is living donor transplant.
o For the year between July 2004 and August 2005, I was the sole substantive transplant surgeon in Portsmouth, performing both living donor and recipient surgery (16 pairs) with no complication.
o My interest in Transplant Surgery, which I have decided to pursue as a career, was stimulated soon after graduation from Medical School, where I joined a unit of renal transplant at Gothenburg, Sweden.
o After gaining a wide range of experience in all aspects of general surgery, I joined the Transplant Unit at the Freeman Hospital, Newcastle, as part of my rotation with the Northern Deanery Health Authority. Having spent twenty-six months in this position, I am confident in the management of renal transplantation and the provision of access surgery for end stage renal failure patients.
o I was involved in the harvesting of organs including kidneys, liver and pancreas. I was also involved in six pancreas transplants that were carried out at the Freeman Hospital.
o At Freeman Hospital, Newcastle, I also gained a wide range of experience in hepatobiliary surgery, as well as liver transplantation.
PAEDIATRIC RENAL TRANSPLANT:
Drawing on my experience at Great Ormond Street Hospital, London, I have established a pediatric renal transplant for the first time in Sudan. To date I have done 14 cases.
RENAL TRANSPLANT PROGRAMME IN UNITED ARAB EMIRATES:
In response to a kind invitation from Sheikh Zayed Military Hospital in Abu Dhabi and in collaboration with Dr Saeed Elsheikh, Consultant Gastroenterologist and Dr Mustafa Kazim, Consultant Nephrologist, I have started adult and pediatrics renal transplant with 100% recipient, donor and graft survival to date.
RENAL TRANSPLANT PROGRAMME IN SUDAN AND NIGERIA:
Since January 2001, I have managed to establish a renal transplant service in Sudan and Nigeria, in four centres, during my annual leave. This is a charitable work, which involve laying down infrastructure, protocols, guidelines, training of local surgeons and relevant medical staff. It is a living donors program, and we have managed to perform over 250 transplants over the last 4 years that resulted in no major morbidity or mortality to the donors, with 89% functioning graft rate and 86% over all recipients’ survival.
ACCESS SURGERY:
I have done a wide range of Access Surgery, over 450 procedures, including, arterial venous fistula, deep-basilic vein transposition, PTFE access graft, bovine ureter access graft, close and open dialysis neck lines. I also work closely with the radiologists to deal with the complicated cases.
LAPROSCOPIC DONOR NEPHRECTOMY:
I believe Laparoscopic Donor Nephrectomy is the future for live donation, having done over 100 laparoscopic cholecystectomies, seen and assisted in 9 Laparoscopic Donor Nephrectomies at Guy’s Hospital. I have just started a successful Laparoscopic Donor Nephrectomy in Sudan as part of the National programme which I have already started there.
RENAL AUTO-TRANSPLANTATION:
To date I have performed 6 renal auto-transplant, involving backbench excision of renal cell carcinoma, in collaboration with the urologist. One of the cases is Von Hubble Lido (VHL).
TOTAL PARATHYRIODECTOMY IN RENAL PATIENTS:
I have been actively providing this service to the renal patients in Portsmouth area (Catchments of 2 millions) since my employment in 2005 and continue to do so.
PANCREAS TRANSPLANTATION:
I was involved in whole Pancreas transplant and retrieval at Freeman Hospital, Newcastle, for 3 years and at Guy’s Hospital, London, for 1 year, involving both techniques of drainage in bowel and bladder and convergence at a latter stage.
PAEDIATRICS RENAL TRANSPLANTATION:
I worked very closely with Mr D.Talbot, Freeman Hospital, Newcastle and Mr Geoff Koffman at Great Ormond Street Hospital in London, where I have participated in a variety of paediatrics transplant. I have had the opportunity to perform the first paediatrics renal transplant in Sudan (living Donors), to date I have transplanted 6 children there.
NON-HEART BEATING RENAL TRANSPLANTATION:
I have a special interest in promoting non-heart beating donation and I worked very closely with Mr D.Talbot, Freeman Hospital, Newcastle, on developing a NHB donor program for two years, and followed that by a period of clinical attachment with professor Kostra at Msrichit Teaching Hospital, Netherlands where they have a pioneering NHB program.

EN-BLOCK PAEDIATRIC RENAL TRANSPLANT:
I worked very closely with Mr D.Talbot, Freeman Hospital, Newcastle, who has special interest in en-bloc renal transplantation. I was involved in 5 cases which gave me the opportunity to practise the technique of switching the blood vessels and transplanting the two kidneys en-block.
BREAST AND ENDOCRINE SURGERY:
Whilst working for two years at the Queen Elizabeth Hospital, Gateshead, where there is a Regional Screening Centre for breast cancer, I was given the opportunity to investigate and manage a wide range of benign and malignant breast diseases.
Due to my training at the Queen Elizabeth Hospital, I am also confident and capable of managing and performing thyroid, parathyroid and adrenal gland surgery.
I also had further training in breast surgery for another two years at Sunderland Royal Hospital and South Tyneside District Hospital. In Portsmouth we treat average of 410 cases of breast cancer a year as a multidisciplinary team, in collaboration with plastic surgeons that perform the reconstructive surgery.
VASCULAR SURGERY:
Having worked with five Vascular Surgeons throughout my training, I am confident in investigating and managing patients with critical ischaemia. My experience in vascular exposure and graft anastamosis is considerable and I have the ability to undertake major vascular surgery including abdominal aortic aneurysm, both acute and elective. I have gained further experience in distal bypasses for limb salvage and also in the management of venous ulcers with four-layer bandaging.
SURGERY OF GASTRO-INTESTINAL TRACT:
I have had extensive training in both upper and lower G.I. surgery. I have learned and now wish to practice the benefit of a combined medical and surgical approach to gastro-intestinal disease, especially inflammatory bowel disease.
I found the surgical management of complicated gastro-intestinal conditions both stimulating and challenging. The management of oesophageal varices presents a major challenge, and my experience in this area is extensive due to my training overseas.
MINIMAL ACCESS SURGERY:
I was very fortunate to have worked in Ireland where laparoscopic surgery commenced as early as 1990. I assisted in more than 50 laparoscopic cholecystectomies and appendicectomies. I further extended my experience in the field by completing courses in Dundee, Scotland and Strasbourg, France and am confident in performing laparoscopic cholecystectomies, appendicectomies overectomy, and thoracic sympathectomies.
DAY CARE SURGERY:
I was employed as Surgical Registrar at South Tyneside District Hospital, which is one of the pioneer hospitals in day care surgery and, for the rest of my career I have been able to build on that experience.

TEACHING:
Throughout my career, I have been involved in the teaching of medical students, nurses and postgraduates. My teaching took the form of lectures, tutorials, seminars and journal clubs, which I found to be both a challenging and rewarding experience.

CLINICAL AUDIT:
I have actively contributed to Clinical Audit throughout my career.
CLINICAL GOVERNANCE:
Actively involved in the trust clinical governance.


PUBLICATIONS & ABSTRACTS:
o Establishing Living Donor Renal Transplant Programme in Sudan and Nigeria- Portsmouth Initiative accepted as a poster for the British Transplant Society (BTS) 9th Annual Congress, 29-31 March 2006 EICC, Edinburgh
o Abusin K, Nightingale J. How a renal transplant service has been set up in Sudan. Hospital Doctors 30 October 2003
o The Feasibility of Establishing a Live Renal Transplantation Programme in a Developing Country. Accepted as poster for the XXth International Transplantation Congress in Vienna, Austria, September 2004.
o Renal Transplantation under Spinal Anaesthesia: Experience with 11cases. Accepted as poster for the XXth International Transplantation Congress in Vienna, Austria, September 2004.
o Abusin K., A. Sid-Ahmed*, Portsmouth Hospitals NHS Trust, UK
o Minister of Health, Sudan*.
o Feasibility of Establishing a Live Related Renal Transplant Programme in Sudan. Presented as a Poster for the Transplant Odessey Meeting in Istanbul, Turkey – August 2001.
o Abusin K., Manas D., Thick M., Talbot D. Multiple Arteries In Cadaveric Renal Transplant. Accepted as a poster for the joint meeting between the Royal College of Surgeons of South Africa and the Royal College of Surgeons of Edinburgh in Cape Town, South Africa, February 1999.
o Abusin K., Manas D., Thick M., Talbot D. Double Ureters in Cadeveric Renal Transplant. Accepted as a poster for the joint meeting between the Royal College of Surgeons of South Africa and the Royal College of Surgeons of Edinburgh in Cape Town, South Africa, February 1999.
o Abusin K., Manas D., Thick M., Talbot D. PTFE Graft Access for Dialysis, Newcastle Experience. Accepted as a poster for the joint meeting between the Royal College of Surgeons of South Africa and the Royal College of Surgeons of Edinburgh in Cape Town, South Africa, February 1999.
o McDonald B., Abusin K., Jackson S., Talbot D., Manas D. The Use Of Audit To Influence Change in Exit-Site Care in CAPD Catheters. Won the audit prize at the North of England Surgical Society meeting on 8 May 1998.
o Abusin K., Rox D., Bawa S.,Talbot D., Manas D., Thick M., Mirza D. Long Term Adult Renal Graft Outcome After Uretric Drainage into an Augmented Bladder or Ileal Conduit. Presented as a poster at the 8th Congress of the European Society For Organ, Budapest, Hungary. Transplantation, September 1997,
o Talbot D., Rix D., Abusin K., Mirza D., Manas D. Alopecia as a Consequence of Tacrolimus Therapy in Renal Transplantation. Transplantation Volume 64, 1631-1633, No. 11, December 15, 1997.
o Abusin K., Mousa M. Project in Trypanosomiasis in Southern Sudan, under supervision of a team from Belgium.
o Abusin K., Alsiwalim A. Audit in Perinatal Mortality Rate at Alshemasy Hospital, Riyadh, Saudi Arabia.

COURSES:
o 20th Congress of European Society for Organ Transplantation,
o Geneva, Switzerland, October 2005.
o Birmingham Vascular Access Master Class, Solihull Hospital, 27-28 January 2005.
o 19th World Congress in Transplantation, Vienna, Austria, September 2004.
o 32nd Sudan Association of Surgeons Congress, Khartoum, Sudan,
o February 2002.
o Advanced Management of Breast Disease, Royal College of Surgeons of England, 12 -15 March 2001.
o Frontiers in Breast Reconstruction, Royal College of Surgeons of England, 17 – 18 October 2000.
o One week visit to the University Hospital of Maastricht, Netherlands Instruction on non-heart beating donors.
o 4th Liverpool Hepatobiliary Master Class, April 1998.
o International Workshop on the use of HTK for organ preservation, Gent, Belgium. January 1998.
o Ionising Radiation Protection Course, Gateshead, March 1998.
o Advanced Course on Laparoscopic Hepatobiliary and Pancreatic Surgery, Strasbourg, France, November 1997.
o Organ Retrieval Workshop, Royal College of Surgeons, London, November 1997.
o The British Transplant Society Meeting, Nottingham, October 1997.
o Summer School in Transplantation Medicine, Guys Hospital,
o London, September 1997.
o 8th Congress of European Society for Organ Transplantation,
o Budapest, Hungary, September 1997.
o 17th World Congress in Transplantation, Montreal,
o Canada, July 1998.
o Information Technology for Surgeons, Royal College of Surgeons Edinburgh, July 1997.
o ATLS, Sunderland, May 1997.
o Acute Care, Edinburgh, November 1966,
o Course in How to Set-Up and Conduct Research,
o Royal College of Surgeons, Edinburgh, November 1995.
o Course in Laparoscopic Surgery, Ninewells University
o Hospital, May 1994.
o Vascular Surgery Anastomotic Workshop, St. Mary’s Hospital,
o London, September 1993.
o 7th Vascular Surgery Review Course, Gloucestershire Royal
o Hospital, December 1998.
o Laparoscopic Hernia Repair, Central Middlesex Hospital, London,
o September 1993.
o Course in ERCP, Leicester General Hospital, March 1993.
o Three weeks course for Part 2 FRCS, Dublin, April 1991.
o Three months clinical attachment at a renal transplant unit in
o Gothenburg, Sweden. June 1981

HOBBIES:
Music, Travel, Swimming, Walking.

REFEREES:
Mr. Geoff Koffman, Consultant Surgeon, Guys Hospital, London
Mr. John Taylor, Consultant Surgeon, Guys Hospital, London
Mr. Nizam Mamode, Consultant Surgeon, Guys Hospital, London

14/11/2012

مستشفى الزيتونة التخصصي
زراعة الكلى
د. كمال أبو سن

14/11/2012

Introduction
Renal transplantation is well established in Alzaytouna hospital with a frequency of two transplant operations done every week.
The renal transplant coordinator provides coordination of all aspects of renal transplant services in order to ensure the delivery of quality care as well as walking the patient through the complicated procedures of renal transplantation.
The transplant team in Alzaytouna hospital includes the transplant surgeon, nephrologist, clinical pharmacologist, the anatheologist, the hospital director of nursing, and the dietician. The activity of this inter disciplinary team is facilitated by the transplant coordinator.
In Alzayotuna Hospital patients seeking transplant services are usually seen initially by the consultant nephrologist or the Renal transplant surgeon, afterwhich the renal transplant coordinator will be contacted.
The renal transplant coordinator will schedule the patient for pre transplant testing.
The renal transplant donor:
In Sudan cadaveric transplantation is not yet established and the renal donor is a living relative.
The physical condition of the donor including age is an important prerequisite for donation. There is a risk of organ failure if the organ is derived from diabetics and those with uncontrolled hypertension
The potential donor is assessed for human immunodeficiency virus-1, -2 (HIV-1, HIV-2), hepatitis C virus (HCV) and hepatitis virus, cytomegalovirus (CMV and other infections..
A previous history of malignancy is not usually a contraindication
for organ donation.

The recipient is subjected to meticulous workup initially starting with the exclusion of cardiac disease and the work-up is extensive in patients at high risk. Revascularization can be performed prior to transplantation if necessary.

Any abnormality of the urogenital tract will be corrected before transplantation as failure to do so can damage the transplanted kidney.

Sometimes the native kidney is removed if it is chronically infected or if it harbors any malady which may jeopardize the transplanted graft

Active malignancy is a contraindication because immunosuppression may aggravate underlying malignancy.

Active infection may exacerbate after transplantation and may be life-threatening

In addition, the recipient is screened for viral and bacterial diseases including hepatitis B (HBV), hepatitis C (HCV), human immunodeficiency virus (HIV), cytomegalovirus (CMV) and tuberculosis (TB)
Routine screening examination of some subspecialties (e.g. ear, nose and throat specialist, dentist, urologist and/or gynaecologist) is done to rule out infectious foci

Obesity itself is not a contraindication for transplantation but a suitable BMI is recommended.

Age itself is not a contraindication, but the recipient is counselled about the increased risks associated with age.
Recurrence of the original renal disease may occur. Patients at risk of recurrent disease are counseled before embarking on transplantation.

The donor and recipient are assed in terms of ABO blood group and HLA-A, -B, and –DR tissue typing. In addition tissue lymphocytic crossmatching is done to the pair to avoid hyperacute rejection of the graft.

After all investigations are completed according to the hospital’s protocols, the renal transplant team will meet and discuss each individual case and a date will be set of the operation. This information will be relayed to the patient via the transplant coordinator.

The post operative care after transplantation essentially includes immunosuppressive medications. These usually consist of: cyclosporine or tacrolimus with mycophenolate mofetil with corticosteroid (prednisolone or methylprednisolone).
Induction therapy may also be given.
Blood-level monitoring of both cyclosporine and tacrolimus is mandatory to prevent under-immunosuppression (increased risk of rejection) and excessively high blood levels (increased risk of chronic side-effects, particularly nephrotoxicity).

The clinical pharmacologist will explain to the recipient medication usage prior to discharge and the patient will be informed to be vigilant of important side effects so as to report to the hospital.
Furthermore all patients will be given dietary advice according to individual needs.

Unless complications occur most donors are discharged after three days and recipients after ten days post operatively.

Address

Alsaid Abdelrahman Street
Khartoum

Website

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