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Nowadays, the incidence of Renal Failure in children is on rise year by year. Conventionally, patients with end-stage renal disease (ESRD) may have to receive a kidney transplant to keep alive. Due to the particularity of children patients, there are many precautions while performing this operation.
Firstly, different operational approach from adult kidney transplant.
For kids whose weight are over 20kg, the operational approach of transplant is similar to adult procedure. However, for those with less than 20kg or younger than 5 years old, they need to receive trans-abdominal surgery. The arteries and veins of donated kidney need to be anastomosed to the recipient abdominal aorta and inferior vena cava respectively. The transplanted kidney should be placed inside the abdomen or retroperitoneal space. The ureteral anastomosis is the same with adult.
Secondly, reduce the kidney transplant's effect on pediatric patients' growth and development.
Carrying out the transplant in appropriate age and adopting proper immunosuppressive treatment schedule can decrease the medicines' effect on children and maximally promote their growth and development.
Finally, pay attention to the post-transplant rejection.
The post-transplant immune reaction of pediatric patients are stronger than adults. The comparison of rejection incidence has shown that 30% of children with age of 1-10 years old experience rejection , while 15% of patients with age of over 50 years old suffer from post-transplant rejection.
The above is an detailed introduction of precautions for children after kidney transplant. Hope it can be useful for all patients. Taking these precautions seriously can help us lower the risk of failed transplant. Is there still anything unclear? Consult our online doctor for free help.