After the previous two failed owing to hypertension, the patient had already undergone two unsuccessful kidney transplants. Because the patient had recently had triple bypass surgery after being diagnosed with coronary artery disease, the team had to be extra cautious. During a transplant, the donor's kidney is generally maintained adjacent to the native kidney, and the renal artery, renal vein, and ureter are connected to the bladder through the external celiac artery, renal vein, and ureter. The assignment was assigned to Dr. S Saravanan.

A group of doctors has successfully implanted the third kidney into the body of the patient. Unlike the standard technique, the kidney was inserted high in the abdominal cavity, near the intestine. However, because of a shortage of space for the replacement kidney and the patient's predisposition to generate antibodies as a result of prior procedures, the team encountered many obstacles.
“My patient's life was saved by the transperineal technique (through the gut), a procedure that is seldom performed even worldwide. Dr. Saravanan, who completed the operation on august 10, stated, "This is such a rare procedure that I have yet to see a report published in india on this."
The rationale for not removing the old kidney to make room for the new one, according to the physicians, is that the patient might bleed heavily and require blood transfusion, which could lead to antibodies and rejection of the new kidney.
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