Prof. Dr. P.V.A. Mohandas - Managing
Director - MIOT Hospitals; Mrs.
Mallika Mohandas -Chairman - MIOT
Hospitals; Mrs. Sujatha - Patients
Mother - Kidney Donor; Master.
Sanjey - Patient Underwent Kidney
Transplant; Dr. Rajan Ravichandran -
Director - MIOT Institute of
Nephrology; Standing behind: Dr.
Ashok Sakthivel- Consultant
Urologist, Dr. Ganesh Prasad -
transplantation in small children less than 15 kilograms has
lot of problems. Technically it becomes difficult to place
adult kidney in such a small child. The blood vessels of the
adult kidney are much larger and required to be anastamosed
to the aorta or IVC in the child. There is a space
constraint for an adult kidney in child’s abdomen The adult
kidney also takes away almost 150ml of the blood from the
child’s circulation, which can produce haemodynamic
problems. Post operatively the management of very small
child is also difficult. Medically rejection rates are more
in children as compared to adults and they require
relatively larger dose of drugs.
a 7-year-old boy, was brought in a critical condition with
chronic kidney disease. He was suffering from the kidney
disease for several years and had a very poor growth. His
height was only 95cms and his weight was 13 kgs. He was
critical and managed with peritoneal dialysis. Haemodialysis
is more difficult in such a small child. His general
condition improved over the next 4 weeks with regular CAPD.
The mother was very keen to