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Delhi AIIMS: AIIMS doctors have removed the affected kidney of a seven-year-old boy suffering from a rare condition of high blood pressure (renovascular hypertension) caused by damage to the renal arteries and transplanted it to another site in the lower abdomen.
The doctors were successful in the eight-hour surgery on June 29. AIIMS doctors claim that this is the country's first and the world's third kidney autotransplant surgery. The child, a native of Bengal, was discharged from AIIMS seven days after the surgery and is now doing well.
The child had an aneurysm in the right renal artery
An additional professor of the Department of General Surgery at AIIMS said that the child had an aneurysm in the artery of the right kidney. This caused the artery to swell like a balloon, which could burst at any time. This could have been fatal for the child. Apart from this, the kidney can get damaged and in this way aneurysm can form in other parts of the body as well. This can also cause brain stroke. In some children, this disease is congenital.
In some children, this disease starts appearing with increasing age at the age of five, seven years or even 13 years. Due to this disease, blood circulation in the body was affected. This increases blood pressure. The child's blood pressure was also 150/110. Due to this, he also had to take blood pressure medicine.
After the child had blood in his urine twice in the last three years, the parents contacted doctors of two private hospitals in Delhi. Doctors of both the hospitals advised to remove one kidney each. Later, the parents took the child to the CTVS department of AIIMS.
The baby weighs around 21 kg
After this, the doctors of CTVS and General Surgery department discussed the treatment options together. There were two treatment options. First stent and second surgery. Surgery was chosen but it was a very complicated surgery. Because the child weighs about 21 kg. Therefore, bleeding more than 350 liters during surgery was not suitable for the child's health.
The problem was that the aneurysm in the artery was very close to the kidney and behind a large vein (vena cava). So the challenge was to safely separate the kidney from the veins. A small mistake in surgery can result in the loss of one to one and a half liters of blood in 20 to 30 seconds if the large vein is cut. So with great care the kidney was separated and placed on the work station in the operation theater and the damaged vein was cut and removed.
Kidney transplanted on the right side
After that, a new vein was created and the child's right kidney was transplanted back into the lower abdomen on the right side. CTVS and general surgery doctors performed this surgery together. The first kidney auto transplant of this kind was done in the right kidney of a 13-year-old child in South Korea in 2014. The kidney had to be removed two days later. Due to this, the surgery was unsuccessful.
Both the kidneys of the child were saved safely
The second surgery was done on a four-year-old girl in London in 2021. Her right kidney was auto transplanted. After this, her third transplant has been done in AIIMS. The doctor told that the child's disease was also cured by this surgery and both the kidneys of the child were saved safely. Apart from this, BP will also be cured. So there will be no need to take blood pressure medicine in future.
