"Transplants are not just about organs; they are about second chances at life," says Dr. Sakthi Selva Kumar, a consultant nephrologist at Kauvery Hospital, Trichy Cantonment. This sentiment embodies the spirit of renal transplantation—a remarkable blend of courage, innovation, and compassion that transforms lives and offers patients the chance to reclaim their future.
Dr. Sakthi recalls a truly remarkable and groundbreaking case involving an HIV-positive patient, believed to be the first of its kind in Delta Tamil Nadu. The recipient was a 110 kg man who had been living with HIV since 2014. Despite his long battle with the disease, he was determined to live a full life, supported by his antiretroviral therapy. However, his journey took a challenging turn in early 2021 when he contracted COVID-19, which led to kidney failure. By August 2022, he needed regular dialysis to survive.
In a touching twist, his wife, also living with HIV, had a recently given birth to a baby girl. When his sister-in-law learned of his deteriorating condition, she stepped forward, determined to help. She was a perfect blood match and willing to donate her kidney, but the family faced non-approvals one after the other from every center they visited due to the perceived risks of the surgery.
"When they first came to me, I also felt hesitant," admits Dr. Sakthi. "I understood their fear and concern. But knowing that similar transplants had been successfully performed in other parts of India gave me hope. I realized this wasn't just about taking a risk; it was about giving a family a chance to stay together."
The transplant was meticulously planned, addressing all potential complications. The patient’s HIV was brought under optimal control, and comprehensive evaluations ensured he was healthy enough to undergo surgery. Every aspect, from donor selection to surgical preparation, was carefully considered to maximize safety and success.
The surgery was performed with exceptional precision by urologists Dr. S. Senthil Kumar, HOD of Urology, and Dr. Sasikumar, Consultant Urologist. Their expertise was crucial in navigating the complexities of this high-risk procedure. The anaesthetic management, an equally critical component, was expertly handled by Dr. Khaja Mohideen, with guidance from Dr. Senthil Kumar Kaliannan, HOD of Anaesthesia. Their efforts ensured the surgery was carried out seamlessly, prioritizing patient safety.
Post-operatively, the patient was closely monitored in an isolated ICU to minimize infection risks. Each stage of recovery was carefully as it managed, ensuring the best possible outcome.
One year later, the patient is thriving. Regular check-ups confirm that his kidney is functioning well, and his HIV remains under control. This landmark transplant has broken barriers and offered hope to many others in similar situations.
"This journey wasn’t just about surgery; it was about perseverance and belief in what is possible," reflects Dr. Sakthi. "The success of this case highlights the importance of meticulous planning, collaboration, and unwavering commitment to patient care."
For the patient and his family, the transplant was far more than a medical procedure; it was a lifeline. It gave him the opportunity to watch his daughter grow and cherish precious moments with his loved ones. As medical science continues to evolve, stories like this redefine what is possible, offering hope to those once considered beyond help.
Renal transplantation for HIV-positive patients, once thought impossible, now represents a triumph of determination, expertise, and the belief that every life is worth fighting for.