About Dr. Sandeep Guleria


Senior Consultant Surgeon, General Surgery, GI Surgery and Transplantation
Indraprastha Apollo Hospitals, New Delhi

Padam Shree Dr.(Prof) Sandeep Guleria is working as a senior consultant – transplant surgeon at the Indraprastha Apollo Hospitals, New Delhi, India. Prior to this Prof. Guleria has numerous firsts to his credit. He led the team that did the first cadaveric renal transplant in India from a brain dead donor. He also led the team that did the first two successful kidney pancreas transplants in India.

He was actively involved in the modifications of the Human Organ Transplant Act through the Rajiv Gandhi foundation.

Dr Guleria was trained in the UK and was appointed as a consultant surgeon in surgery and transplantation at Europe's largest teaching hospital the St. James's University hospital, Leeds.

He was till recently the Secretary of the Indian Society of Organ transplantation.

He is also a member of the ethics committee of the Transplantation Society.

Dr Guleria has been felicitated with numerous awards, has more than 106 indexed publications, 16 chapters in books and has given seven orations. He has been awarded Padam Shree by the Govt of India.

Betty's Apollo Story (Renal Transplant)

Areas of Specialization

Awards and Achievements

  • Awarded the Padamshree by the President of India in recognition of my Contribution to medicine in 2019. This is the fourth highest civilian award of the Government of India
  • Smt. Rukmani Gopalkrishnan Award for standing FIRST in SURGERY
  • Award for standing THIRD in MEDICINE
  • University College Of Medical Sciences
  • Distinguished Alumni Award 1996
  • Awarded the “Luminary Award” by the IMA South Delhi Branch in Delhi In recognition of his “Outstanding contribution rendered to the medical profession and the community” 2007
  • Awarded Exemplary Contribution Award by Indian Medical Association 2008
  • Awarded the Himachal Gaurav Himalayan Jagriti Manch 2011

Medical Qualification

  • 1986 1988 Junior Residet, Deptt. Of Surgery All India Institute of Medical Sciences, New Delhi 110029
  • Prof . Dhawan Dr. Khazanchi 1989 1992 Senior Resident, Deptt of Surgery, India Institute of Medical Sciences, New Delhi 11029.
  • Dr. Mehta Dr. Khazanchi 1992 Nov. 1992 S.H.O., Urology and Transplantation , Royal Free Hospital, London NW3 Mr.O.N. Fernandoa
  • Mr. R.J. Morgan 1992 1993 Clinical And Research Fellow, (Registrar) Academic Unit of Surgery, St. James’s University Hospital Leeds LS9 7TF Mr. J.P.A. Lodge Mr. S.A. Sadek 1994 1997
  • Assistant Professor & Consultant Surgeon, Department of Surgery, All India Institute of Medical Sciences, New Delhi 110029 1997 1998
  • Senior Fellow, (Senior Registrar) Deptt. Of Organ Transplantation, St. James’s University Hospital, Leeds , U.K. Mr. J.P.A. Lodge
  • Mr .S.G.Pollard 1998 2002 Associate Professor, Department of Surgery, All India Institute of Medical Sciences, New Delhi 110029 2002 -2003
  • Additional Professor Department of Surgery, All India Institute of Medical Sciences, New Delhi 110029 2008 till 30th June 2011
  • Professor, Department of Surgery India Institute of Medical Sciences, New Delhi 110029 1st July 2011 till date
  • Senior Fellow, (Senior Registrar) Deptt. Of Organ Transplantation, St. James’s University Hospital, Leeds , U.K.

Research and Publications

  • Guleria S., Aron M., Sinha S. "Vascular access Surgery : a simplified technique for the creation of AV fistulae using surgical glove cuffs" Indian Journal Of Urology 1995 Vol. 11:2: 90
  • Guleria S., Sinha S., Dorairajan LN, KhazanchiRK.,Saxena S., Agarwal SK, Tiwari SC, Dash SC " Spontaneous Renal Allograft Rupture : Still a threat " Nephron 1995 :70: 385-386
  • Mitttal R., Saxena S., Guleria S., Mittal S.,Agarwal SK., Tiwari SC.,Dash SC., "Visceral Leishmaniasis : A rare cause of unexplained pyrexia in a renal allograft recipient " Nephron1995: 70: 123-124.
  • Agarwal SK., Dash SC., Tiwari SC., Saxena S., Mehta SN., Guleria S., Dwivedi SN., Mehra NK., " Results of conversion from triple drug therapy to double drug therapy in live related renal transplantation " Transplantation 1995 :59:1: 27-31
  • Bakshi S., Nandi D., Guleria S., " Cadaver Renal Transplant — Our experience with relatives" National Medical Journal Of India 1994: 3:7:232
  • Rao PN., Mehta SN., Guleria S., Bhardwaj M., Saxena S., Khazanchi RK., Agarwal SK., Tiwari SC., Dash SC. "Quality of life in live related renal allograft recipients in India " National Medical Journal Of India 1996: 9:3:118-119
  • Khazanchi RK., Rakshit R., Bal CS., Guleria S., Sinha S., Srivastava A. " Evaluation of lymphatic drainage in free flaps by lymphoscintography a preliminary study." British journal of Plastic Surgery 1996 :49 : 123-128
  • Sharma S., Thatani D., Saxena A., Shyam S., Guleria S., Rajani M., " Renovascular hypertension resulting from non specificAortoarteritis in children, midterm results of percutaneous transluminal renal angioplasty and predictors of restenosis" American Journal of Roentology1996: 166: 157-162
  • Guleria S., DorairajanLN.,Sinha S., Khazanchi RK.,BaI S.,Guleria R. " Spontaneous rupture of the spleen in viral hepatitis A." Indian Journal of Gastroenterology1996:15 :30
  • Saxena S., Dash SC., Guleria S., Tiwari SC., Agarwal SK., " Post transplant Diabetes Mellitus in live related renal allograft recipients: a single centre experience" Journal of the Association of Physicians of India. July 96; (44) 472-479.
  • DindaAK.,Saxena S.,Guleria S., SC Tiwari, Dash SC.,Srivastava RN., Singh C. "Diagnosis of glomerular haematuria; Role of dysmorphic red cells, GI cells and bright field microscopy" Scandivian Journal of clinical and laboratory Investigation !997 :57:203-208.
  • Guleria S., Agarwal S., KhazanchiRK.,Sharma S., " The Meandering collateral An alternative for renal revascularisation. British journal of Urology: 1998:81:324-325
  • Guleria S. "Technology and Equipment for renal transplantation "Journal of the Academy of Hospital Administration. 1996:8:2: 15-17
  • Kumar A., Guleria S., KhazanchiRK.,Mehta SN. " Tetracycline sclerotherapy in the treatment of primary Hydrocele" Indian Journal of Urology 1997: 14:1:12-15.
  • Guleria S., Agarwal S.,KhazanchiRK.,AgarwalSK.,TiwariSC.,Dash SC. "The double J stent : its impact on the urological complications in live related renal transplantation" Indian Journal of Urology . 1998:14:2:101-104.
  • DindaAK.,Mathur M.,GuleriaS.,SaxenaS.,Tiwari SC., Dash SC. "Heat shock proteins expresssion and proliferation in end stage renal disease with and without haemodialysis." Nephrology Dialysis and Transplantation .1998:13:99-105
  • GuleriaS.,Seth A.,DindaAK.,Kumar R.,Chabbra RPS., Agarwal SK., Tiwari SC.,Dash SC. " Ureteric Aspergilloma as the cause of ureteric obstruction in a renal transplant recipient" Nephrology Dialysis and Transplantation .1998:13:792-799
  • GuleriaS.,AhmadN.,PollardSG.,NewsteadCG.,Lodge JPA. " Transplant renal artery aneurysm following a venous patch repair of a traction injury to the renal artery" Nephrology Dialysis and Transplantation. 1998:13: 1577- 1578.
  • KhazanchiRK.,NandaV.,KumarR,Garg P.,GuleriaS.,Bal S " OmentumAutotransplantation in Thromboangitis Obliterans Report of three case. " Surgery today (Japanese Journal of Surgery) 1999: 29
  • Sharma S.,GuptaH.,SaxenaA.,KothariSS.,Taneja K.,GuleriaS.,Rajani M " Results of renal angioplasty in non specificaortoarteritis ". J VascIntery Radiology 1998:9:3:429-435.
  • Bhowmik D.,DashSC.,TiwariSC.,AgarwalSK.,Gupta S.,GuleriaS.,Mehta SN "Spousal renal donor transplants in India" Nephrology Dialysis and Transplantation 1999:14:2052-2053.
  • Aggarwal S., Guleria S " Retained Intra-Abdominal drain : A Nine year Journey" Journal Of the Association of Physicians of India (JAPI ) 2000.48:262-63.
  • Juneja R., Krishnamani NC., Kothari SS., Guleria S., Mahawar RM., " Phaeochromocytoma and congenital Cyanotic heart Disease " .Indian Heart Journal 2000, 52:4: 452-55.
  • Agarwal SK., Dash SC.,Irshad M., Gupta S., Bhowmik D.,Tiwari SC., Guleria S., Mehra SN. " Impact of Hepatitis C virus infection on Renal transplant outcome in India- a Single Centre Study. Journal of the Association of Physicians of India ( JAPI) 2000:48:1155- 1160.
  • Aggarwal S, Guleria S, Hussain T "Tuberculosis of Common bile duct : a rare cause of biliary stricture" Tropical Gastroenterology 2001;22:28-29.
  • Guleria S., KhazanchiRK,Dhawan IK.,Srivastays LM. "Serum LDH and its isoenzymes in oral cancer" Journal of basic and applied biomedicine 1994 :4
  • Jayaraj ,Srivastava D.,Saxena S.,Guleria S., Dash SC.,AgarwalSK.,Tiwari SC. " Dupleix doppler in evaluating renal graft dysfunction" Indian Journal Of Nephrology 1994:4:3: 12
  • Guleria S. " Cadaveric Renal Transplant the All. M.S."Indian Medical Tribune Vol:3 7
  • KhazanchiRK.,Pal S.,MitalD.,Gupta K.,GuleriaS.,Nanda V. " Role of Vitamin E in ischemic skin flap survival in rats." Indian Journal of Plastic Surgery1996:28:33-36
  • SaxenaS,GuleriaS,Dash SC, Tiwari SC, Agarwal SK,Khazanchi RK " Outcome of varicella zoster infection in renal transplant recpients"Indian Journal Of NephrologyVol 6:3:119
  • Saxena S,DashSC,GuleriaS,TiwariSC,BhowmikD,Agarwal SK. "Live donor renal transplantation in Alports syndrome" Indian Journal of Nephrology Vol.6:4:1997:142-145.
  • Dinda AK, Singh C, Aggarwal SK, Guleria S, Tiwari SC, Dash SC, Bagga A "Diagnosis of Glomerular Haematuria by Image cytometry of Urinary Red Cells." Nephron 2001;88:93-94.
  • Aggarwal SK,DashSC,GuptaS,Bhowmik D, Tiwari SC,GuleriaS,Mehta SN "Routine upper GI tract evaluation : is it a must in all patients" Nephron 1999;83(4)368
  • Aggarwal S, Guleria S, Dinda AK, Kumar L,Tarique S, Embryonal Cell Sarcoma Of the Liver mimicking a hydatid cyst in an adult.: Tropical Gastroenterology 2001 Jul-Sep ; 22(3):141-2
  • Batra RK, Guleria S., Mandol S "Unusual complication of IN cannulation" Indian Journal of Chest Diseases Allied Science 2002: 50 : 532-6
  • Agarwal SK,DashSC,MehtaSN,GuptaS,BhowmikD,Tiwari SC, Guleria S "Results renal transplantationon conventional imunosuppression in second decade in India : a single centre experience." Journal of Association of Physicians of India 2002;50: 532-536.
  • Gupta S,DashSC,SharmaS,AgarwalSK,BhowmikD,WaniM,RamasetuR,TiwariSC,Guleria S, "Pneumocystis carinii pneumonia:role of high resolution computed Tomography" ." Journal of Association of Physicians of India 2002;50(5)726-8
  • Panigrahi A, Agarwal SK, Kanga U,GuleriaS.,Bhowmik D, Dash SC,Gupta S, Tiwari SC,MehtaSN,Mehra NK "Influence of HLA compatibility on renal graft survival using live unrelated and cadaver donors in India. Indian Journal of Medical Research 2002;115:158-164
  • Deka R, Panigrahi A, Agarwal SK, Guleria S.„ Dash SC, Mehta SN,Pandey RM Mehra NK "Influence of pretransplant panel reactive antibodies on the post Transplant sensitization status". Transplantation Proc.2002;34(8):3082-3
  • Hafeez A,Guleria S "An inexpensive technique of making Barron bands for ligation of Haemorrhoids."Nat/ Med J India.2002;15(5):297
  • Reddy AV, GuleriaS.,Khazanchi RK, Bhardwaj M,Aggarwal S "Attitude of patients, the public, doctors and nurses towards organ donation" Transplantation Proc.2002 ;35(1):18
  • Bhowmik D, Dash SC, Guleria S, Panigrahi A., Gupta S, Agarwal S,Tiwari SC, Mehta SN, Mehra NK. "Spousal renal transplants:implications in developing countries" Transplantation Proc.2002 ;35(1):26-27.
  • Guleria S "Is minimally invasive donor nephrectomy the future" Transplantation Proc.2002 ;35(1):37-38
  • GuleriaS.,AggarwalS.,Mandal S.,SinghS.,SinghP.,Mehta SN, Aggarwal SK,BhowmikD,GuptaS.,TiwariSC,Dash SC "The mini-donor nephrectomy: A viable option" Transplantation Proc.2002 ;35(1):39-40
  • Guleria S., Mehta SN,MandalS,AggarwalS., Gupta S, Bhowmik D,AggarwalSK,Tiwari SC "Povidone Iodine in the treatment of lymphatic fistulae in renal transplant recpients. Transplantation Proc.2002 ;35(1):327-328
  • GuleriaS.,KhazanchiRK,DindaAK,Aggarwals.,GuptaS.,BhowmikD.,AggarwalSK,TiwariSC,DashSC,Mandal S. "Spontaneous Renal Allograft rupture:Is graft Nephrectomy an option" Transplantation Proc.2002 ;35(1):339.
  • BasakU.,Mitra DK,PanigrahiA.,GuleriaS.,AgarwalS,MehtaSN,DashSC,Mehra NK. "Clinical Relevance of monitoring cytokine production following living donor renal transplantation." Transplantation Proc.2002 ;35(1):404-406.
  • DasanJB,KumarR.,Tripathi M.,Imlitemsu, Guleria S.,ChoudharyS.,Srinivasan A. " Spontaneously resolving lymphocele demonstrated on serial dynamic scintigraphy. Clin. Nucl.Med.2002.27(12):907-908
  • NarreddySR,GuleriaS.,Agarwal S.,Svr CM, Mandal S. "Recurrent abscess at site of laparoscopic cholecystectomy due to spilled gall stones. Indian Journal of Gastroenterology. 2001 :20(4):161
  • Kumar R, Bharathi Dasan J, Choudhary S, Guleria S, Padhy AK, Malhotra AK "Scintigraphic patterns of lymphocele in post- renal transplant" NucL Med Commun. 2003 May : 24 (5): 531-5.
  • Aggarwall S, HaldarS.,KumarA.,Kumar S, GuleriaS,Dawar R. " Primary Malignant Histiocytoma of the greater omentum" Trop. Gastroenterology 2002 Oct-Dec; 23(4):193-4
  • Chahal R, Madaan S., Guleria S., Lodge JP, Spencer JA. "A complex caliceal cutaneous and caliceal peritoneal fistula in a renal transplant patient : a case for conservative management" Int. Urol. Nephrol. 2004 ;36(2):245-247
  • Miah M.,MadaanS.,KesselDJ.,Newstead CG.,Guleria S. " Transplant Renal artery kinking : a rare cause of early graft dysfunction"Nephrol. Dial Transplant. 2004 Jul;19(7):1930-l.
  • 1qbal M.,AggarwalS.,KumarR.,Garg PK, BandhuS.,KumarA.Parshad R.,Guleria S. "The role of 99mcTc mebofrenin hepatobiliary scanning in predicting common bile duct stones in patients with gall stone disease" Nucl. Med. Commun. 2004 Mar;25 (3):285-9
  • Guleria S., Aggarwal S., Bansal VK, Varma MC, Kashyap L., Tandon N.,MahajanS.,Bhowmik D., Agarwal SK, Mehra NK, Misra MC. " The first successfull simultaneous Kidney Pancreas Transplant in India" Natl. Med J India 2005 Jan — Feb ; 18 (1) : 18-19.
  • Guleria S., Aggarwal RK, Guleria R., Bhowmik D., Agarwal SK, Tiwari SC. " The effect of renal transplantation on pulmonary function and respiratory muscle strength in patients with end stage renal disease."Transplant Proc. 2005 Mar,37 (2):1054-6
  • Guleria S., Chahal R., MadaanS.,IrvingHC,Newstead CG , Pollard SG, Lodge JP Ureteric Complications of renal transplantation the impact of the double J stent and the anterior extravesical ureteroneocystostomy" Transplant Proc. 2005 Mar,37 (2):1054-6
  • Guleria S., Aggarwal S., Bansal VK, Varma MC, Kashyap L., Tandon N. Mahajan S.,Bhowmik D., Agarwal SK, Mehra NK, Misra MC " Simultaneous Kidney Pancreas Transplantation for Insulin Dependant Diabetes Mellitus in India" Indian Journal of Transplantation 1, (1) 16-18.
  • Mahajan S.,MukhiyaGK,Singh R, Tiwari SC, Kalra V, GuleriaS,AggarwalSK,BhowmikD.,GuptaS.,Dash SC. " Assessing suitability for renal donation : can equations predicting glomerular filteration rate substitute for a reference method in the Indian population ?"Nephron Clin Pract 2005;101(3):c128-3
  • Vikrant S.,AgarwalSK,GuptaS.,BhowmikD.,Tiwari SC, Dash SC, Guleria S., Mehta SN. " Prospective Randomised control trial of isoniazid chemoprophylaxis during renal replacement therapy Transpl. Infect. Dis. 2005 Sep-Dec ; 7 (3-4) 99-108
  • Panigrahi A, Deka RM, Bhowmik D,Dash SC, Tiwari SC, Guleria S, Mehra NK " Functional Assessment of immune markers of graft rejection: a comphrensive study in live related renal transplantation" Clin. Transpl 2006 Jan —Feb ;20(1) 85¬90.
  • MisraMC,Guleria S. "Management of cancer gallbladder found as a surprise on a Resected gallbladder specimen. J Surg Oncol 2006Jun 15;93 (8): 690-8
  • Aggarwall S, Guleria 5, MisraC,Goswami R, Seth A, Kumar S. "Transperitoneal transmesocolic approach for laparascopic excision of an extra-adrenal phaeochromocytoma. J laparoscopic Adv Surg Tech A 2006 Jun;16(3):261-3
  • Varma M,Guleria S, Gupta S, DindaAK,Agarwal SK, Mahajan S,BhowmikD.,Tiwari SC, Dash SC. "Significance of protocol biopsies in living related renal transplant recipients in India" Transplant. Proc. 2006 Sep:38(7):2016-7
  • Guleria S, Kamboj M, Sharma M, Chatterjee A,DindaAK,Mahajan S, Gupta S, Bhowmik D, Aggarwal SK, Tiwari SC, Dash SC " Tacrolimus (Pan Graf) as denovo
  • Guleria S, Kamboj M, Sharma M, Chatterjee A,DindaAK,ChaudharyAK,Mahajan S, Gupta S, Bhowmik D, Aggarwal SK, Tiwari SC, Dash SC " Tacrolimus (Pan Graf) in live related renal transplantation : an initial experience of 101 recipients in India" Transplant Proc. 2007 Apr:39 (3) :747-9.
  • Nayak B,GuleriaS,VarmaM,TandonN,AggarwalS,Bhowmick D, Agarwal SK,Mahajan S, Gupta S,Tiwari SC. " Effect of biophosphonates on bone mineral density after renal transplantation as assessed by bone mineral densitometry" Transplant Proc. 2007 Apr:39 (3) :750-2.
  • PanigrahiA,GuptaN,SiddiquiJA,BhowmikD,GuleriaS,Mehra NK. " Monitoring of anti- HLA and anti-Major histocompatibility complex class I related chain A antibodies in living related renal donor transplantation. Transplant Proc. 2007 Apr:39 (3) :759-60.
  • PanigrahiA,GuptaN,SiddiquiJA,MargoobA,BhowmikD,GuleriaS,Mehra NK. "Post transplant development of MICA and anti-HLA antibodies is associated with acute rejection episodes and renal allograft loss" Hum Immunol. 2007 May; 68 (5): 362-367.
  • Bhowmik D,DindaAK,XessI,SethuramanG,MahajanS,GuptaS,AgarwalSK,GuleriaS,Tiwari SC. " Fungal panniculitis in renal transplant recipients" Transpl. Infect. Dis 2008 Jul ;10 (4):286-9
  • Gupta R,SharmaMC,AttriS,Guleria S. "Testicular metastasis of extraskeletal myxoid chondrosarcoma:report of a first case" Urology 2008 : May 71 (5):984
  • Yadav R,MehtaSN,Kumar A, GuleriaS,Seenu V, Tiwari SC. "A prospective analysis of testicular androgenic function in recipients of a renal allograft" Int. Urol. Nephrol. 2008:40;(2):397-403
  • Panigrahi A,SiddiquiJA,RaiA,MargoobA,Khaira A, Bhowmik D,Tiwari SC, Guleria S, Mehra NK. "Allosensitization to HLA and MICA is an important measure of renal graft outcome" Clin. Transpl. 2007 :211-7
  • Arora R,SharmaA,BhowateP,BansalVK,GuleriaS,Dinda AK. " Hepatic tuberculosis mimicking a klatskintumor : a diagnostic dilemma" Indian J Pathol. Microbiol 2008 Jul- Sep; 51(3): 382-5
  • GuleriaS,JainS,DindaAK,MahajanS,GuptaS,BhowmikD,AggarwallS,TiwariSC,Panigrahi A, Mehra NK. "Are protocol biopsies indicated in a live related renal transplant program" Transplantation July 27,2008 Vol 86 2S (abstract)
  • PanigrahiA,Shidhiki J, MargoobD,BhowmikD,Tiwari SC, Guleria S, Mehra NK " Neutrophil Gelatinase associated lipocalin (NGAL)as a biomarker to predict Acute tubular necrosis(ATN) in renal transplant allografts" Transplantation July 27,2008 Vol 86 2S (abstract)
  • Guleria S, Kumar R,ReddyS,JainS,Aggarwall S, Mahajan S, Gupta S,BhowmikD,AggarwallS,Tiwari SC. "Is laparoscopic donor nephrectomy really the way ahead" Transplantation July 27,2008 Vol 86 2S (abstract)
  • Misra MC, Aggarwall S, GuleriaS,SeenuV,Bhalla AP. Clipless and sutureless Surgery for adrenal and extra-adrenal tumors." JSLS 2008 Jul-Sep:12(3):252-5
  • Guleria S, Kamboj M, Chatterjee A, Sharma M,AwasthyV,DindaAK,Mahajan S, Gupta S, Bhowmik D, Aggarwal SK, Tiwari SC " Generic Tacrolimus (Pan Graf) in renal transplantation : an experience of 155 recipients in India" Transplant Proc. 2008 Sep:40 (7) :2237-9
  • Sharma A,JainS,GuptaR,BanerjeeKG,GuleriaS,AgarwalSK,Dinda AK. " Ultrastructural alterations in endothelial mitochondria are associated with enhanced nitrosyines accumulation and progressive reductionof VGEF expression in sequential protocol renal allograft biopsieswithcalceneurin inhibitor toxicity" Transpl Intl.2009 Nov 13.
  • Guleria S. " Point-Counter Point : Mini-donor Nephrectomy: A viable and effective Alternative. Indian Journal of Urology Jan-March 2010 (26)
  • Clinical relevance of curcumin-induced immunosuppression in living-related donor renal transplant: an in vitro analysis. : Bharti AC, Panigrahi A, Sharma PK, Gupta N, Kumar R, Shukla S, Bhowmik DM, Agarwal SK, Guleria S, Mehra NK. Exp Clin Transplant. 2010 Jun;8(2):161-71
  • Tuberculosis of the thyroid presenting as multinodular goiter with hypothyroidism: a rare presentation. Chaudhary A, Nayak B, Guleria S, Arora R, Gupta R, Sharma MC.Indian J Pathol Microbiol. 2010 Jul-Sep;53(3):579-81
  • Outcome of pediatric renal transplantation in north India. Sinha A, Hari P, Guleria S, Gulati A, Dinda AK, Mehra NK, Srivastava RN, BaggaA.Pediatr Transplant. 2010 Nov;14(7):836-43
  • A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias. Bansal VK, Misra MC, Kumar S, Keerthi Rao Y, Singhal P, Goswami A, Guleria S, Arora MK, ChabraA.SurgEndosc. 2011 May;25(5):1431-8
  • Calcineurin inhibitor toxicity in renal allografts: morphologic clues from protocol biopsies. Sharma A, Jain S, Gupta R, Guleria S, Agarwal S, Dinda A. Indian J Pathol Microbiol. 2010 Oct-Dec;53(4):651-7
  • Risk factors for the development of new-onset diabetes mellitus in a living related renal transplant program. Bora GS, Guleria S, Reddy VS, Tandon N, Gupta N, Gupta S, Bhowmik D. Transplant Proc. 2010 Dec;42(10):4072-3
  • Live Related donors in India : Their Quality of life using world health organisation quality of life brief questionnaire. Sunil K Vemuru Reddy, Sandeep Guleria, OkidiOkechukwu, Rajesh Sagar, Dipankar Bhowmik, Sandeep Mahajan. Indian Journal Of Urology 2011;27:25-9
  • Okechukwu 0, Reddy S, Guleria S. " A page in transplantation" Saudia Journal of Nephrology and Transplantation. (Accepted)

Patient Reviews


We have two kidneys. They are bean-shaped and about the size of a fist. They are located in the middle of the back, on the left and right of spine just below the rib cage.

The kidneys main job is to filter blood, removing wastes and extra water to make urine. They also help control blood pressure and make hormones that the body needs to stay healthy. When the kidneys are damaged, wastes can build up in the body.

Kidney disease – also known as chronic kidney disease (CKD) – occurs when kidneys can no longer remove wastes and extra water from the body or perform other functions as they should.

Kidney disease is most often caused by diabetes or high blood pressure.

Each kidney contains about one million tiny filters made up of blood vessels. These filters are called glomeruli. Diabetes and high blood pressure damage these blood vessels, so the kidneys are not able to filter the blood as well as they used to. Usually this damage happens slowly, over many years. As more and more filters are damaged, the kidneys eventually stop working.

Diabetes and high blood pressure are the two leading risk factors for kidney disease. Both diabetes and high blood pressure damage the small blood vessels in kidneys and can cause kidney disease – without you feeling it.

There are several other risk factors for kidney disease. Cardiovascular (heart) disease is a risk factor. So is family history: if you have a mother, father, sister, or brother who has had kidney disease, then you are at increased risk.

Kidney disease is often called a “silent” disease, because most people have no symptoms in early kidney disease. In fact, you may feel just fine until your kidneys have almost stopped working. Do NOT wait for symptoms; Blood and urine tests are the only way to check for kidney damage or measure kidney function.

You can keep your kidneys healthy longer by taking steps to control your diabetes and high blood pressure. Manage your diabetes and high blood pressure by

  • Eating heart healthy foods: fresh fruits, fresh or frozen vegetables, whole grains, and low fat dairy foods.
  • Cutting back on salt
  • Limiting your alcohol intake
  • Being more physically active
  • Losing weight if you are over weight
  • Taking your medicines the way your provider tells you to
  • Keeping your cholesterol levels in the target range.
  • Taking steps to quit, if you smoke,
  • Seeing your doctor regularly.

A blood test and a urine test are used to find kidney disease. If you have diabetes, high blood, heart disease, or a family history of kidney failure, you should also get tested regularly – ask your health care provider how often.

The blood test for kidney disease is called a GFR. (GFR stands for glomerular Filtration Rate). This test helps your doctor measure how much blood your kidneys filter each minute. This shows how well your kidneys are working.

GFR is reported as a number. A GFR below 60 may mean you have kidney disease. However, because GFR decreases as people age, other information may be needed to determine if you actually have kidney disease if you are older and your GFR is decreased. You can’t raise your GFR, but you can try to keep it from going lower. Ask your healthcare provider what you can do to keep your kidneys healthy.

The urine test for kidney disease looks for albumin (al-BYOO-min), a type of protein, in your urine. A healthy kidney does not let albumin pass into the urine. A damaged kidney lets some albumin pass into the urine. If you have albumin or protein in your urine, it could mean you have kidney disease. Your doctor might do additional tests to be sure.

Treatments for early kidney disease include both diet and lifestyle changes and medications. Diet and lifestyle changes, such as eating heart healthy foods and exercising regularly to maintain a healthy weight, can help prevent the diseases that cause kidney damage. If you already have diabetes and / or high blood pressure, keeping these conditions under control can keep them causing further damage to your kidneys.

Cutting back salt intake can be an important dietary change, since this helps control blood pressure. Also, eat the right amount of protein. Because excess protein makes your kidneys work harder, eating enough, but not too much, protein may help protect your kidneys. Talk to your dietician about how to choose the right combination of protein foods for you.

When your kidneys fail, they are no longer able to filter blood and remove from your body well enough to maintain health. Kidney failure causes harmful waste and excess fluid to build up in your body. Your blood pressure may rise, and your hands and feel may swell. Since the kidneys are not working well, the goal is to find treatments that can replace kidney function in order to maintain health. There are two main options for this: dialysis and transplantation.

Most often, kidney failure is a slow, progressive disease. Usually there are no severe tell-tale signs at the beginning stages of the disease. But you may experience:

Frequent trips to the restroom

  • Loss of appetite
  • Dry, itchy skin
  • Swollen feet
  • Muscle cramps

Dialysis is a treatment to filter wastes and water from your blood. There are two major forms of dialysis: hemodialysis and peritoneal dialysis

In hemodialysis, blood is run through a filter outside of your body and the clean blood is returned to the body. Hemodialysis is usually done at a dialysis center three times a week, but it can also be done at home. Each session usually lasts between three and four hours.

Peritoneal dialysis is another way to remove wastes from your blood. This kind of dialysis uses the lining of your abdominal cavity (the space in your body that holds organs like the stomach, intestines, and liver) to filter your blood. It works by putting a special fluid into your abdomen that absorbs waste products in your blood as it passes through small blood vessels in this lining. This fluid is then drained away. A key benefit of peritoneal dialysis is that it can be done at home, while you sleep.

No. hemodialysis and peritoneal dialysis do not cure kidney failure. They are treatments that help replace the function of your kidneys and may help you feel better and live longer

Although patients with kidney failure are now living longer than ever, over the years kidney disease can cause problems such as depression, heart disease, arthritis, nerve damage, and malnutrition. To stay as healthy as possible while on dialysis, follow your dietician’s recommendations, take your medications, and continue to follow the lifestyle habits you adopted to slow the progression of kidney disease.

Instead of dialysis, some people with kidney failure – including older adults – may be able to receive a kidney transplant. This involves having a healthy kidney from another person surgically placed into your body. The new, donated kidney does the work that your two failed kidneys used to do.

Kidney transplantation is a treatment for kidney failure - not a cure. You will need to see your doctor regularly. And you will need to take medications for as long as you have your transplant to suppress your immune system so it doesn’t reject the transplanted kidney.

About Apollo Hospitals, Delhi

Indraprastha Apollo Hospitals, India's first JCI accredited hospital, is a joint venture between the Government of Delhi and Apollo Hospitals Enterprise Limited. Commissioned in July 1996, it is the third super-specialty tertiary care hospital set up by the Apollo Hospitals Group. Spread over 15 acres, it houses 57 specialties with more than 300 specialists and more than 700 operational beds, 19 operation theatres, 138 ICU beds, round-the-clock pharmacy, NABL accredited laboratories, 24-hour emergency services and an active air ambulance service. Apollo Hospitals Delhi has the leading programme in kidney and liver transplant in the country. The first successful paediatrics and adult liver transplants in India were performed at Indraprastha Apollo Hospitals. The hospital is at the forefront of medical technology and expertise. It provides a complete range of latest diagnostic, medical and surgical facilities for the care of its patients. The Hospital has introduced the most sophisticated imaging technology to India with the introduction of 64 slice CT and 3 Tesla MRI, Novalis Tx and the integrated PET Suite and Radixact X-9 Tomotherapy. Indraprastha Apollo has also pioneered the concept of preventive health check programmes and has created a satisfied customer base over decades. The Hospital has been consistently ranked amongst the best 10 hospitals in India by The Week survey for the past few years.

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