EXPLAINED: What is En-Bloc Kidney Transplant?


New Delhi: First of all, both kidneys of a minor organ donor have been successfully transplanted into five-year-old Manroop Bawa. The procedure, known as en bloc kidney transplantation, was performed here at the All India Institute of Medical Sciences (AIIMS). The donor in this case was a 16-month-old baby who was declared brain dead at the All India Institute of Medical Sciences (AIIMS) here on August 24 and donated his organs.Also Read – Another pig to human kidney transplant has been a major success by a US medical team

The procedure, known as en bloc kidney transplantation, was performed at the All India Institute of Medical Sciences (AIIMS).

“The recipient child, a native of Sonepat in Haryana, was suffering from chronic kidney failure for a long time and was on hemodialysis. He needed immediate kidney transplant surgery for his survival”, said Dr. AIIMS, Additional Professor, Department of Surgery. Manjunath Maruti Paul told PTI. Also Read – Suffering from chronic kidney disease? This guide will protect you from COVID-19

After the transplant, the five-year-old recipient is fit and healthy. “The patient was kept in the isolation ward for seven days, after which he was discharged. Currently, the boy is off dialysis and is doing well. He is also ready to go to school”, added the doctor. Also Read – Rare medical achievement: 4-year-old Mumbai girl gets new lease of life after great-grandmother donates kidney

What is EN BLOC Kidney Transplantation?

En-bloc kidney transplantation occurs when two kidneys from a single young pediatric donor, along with the vena cava and aorta, are transplanted into one recipient.

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Typically, during transplantation, the proximal (suprarenal) portion of the donor aorta and IVC is surgically closed (ie, sutured or stapled) and the distal portion of the donor aorta and IVC is anastomosed to the iliac vessels.

“However, in this case, due to growth retardation in the child, the patients’ iliac vessels were of small caliber (inadequate for revascularization); So, the donors’ aorta was anastomosed with the recipient’s aorta and the donors’ IVC was anastomosed with the recipient’s IVC,” explained the doctor about the challenges involved in such surgeries.

What are Aorta, IVC, Iliac Vessel and Vena?

Aorta: It is the main artery that carries blood from the heart to the rest of the body through the aortic valve.

Iliac Vessel: Blood vessels that supply blood to the legs, pelvis, reproductive organs, and other organs in the pelvic area.

IVC: The inferior vena cava (IVC) is the main abdominal vein responsible for transporting deoxygenated blood from the lower extremities and abdomen through the diaphragm to the superior vena cava and ultimately to the right atrium.

Vena Cena: Large veins that bring deoxygenated blood to the heart to receive oxygen.

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