Peritoneal Dialysis in Navi Mumbai

Peritoneal Dialysis

Nephrology

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Peritoneal dialysis is a procedure in which 1.5-3L of dialysis fluid is infused into your peritoneal cavity, and a peritoneal catheter or tube is used to infuse the fluid into your cavity. It is allowed to dwell for a set period; usually, 3-4 hrs, to allow for the removal of metabolic waste products. The fluid that now contains the metabolic waste products from your body is drained through another tube attached to a bag. The bag is evacuated every 3-4 hrs.

Peritoneal dialysis is further classified into two types:

  • Continuous ambulatory peritoneal dialysis( CAPD)
  • Automated peritoneal dialysis (APD)

In this procedure, about two litres of sterile, isotonic dialysis fluid are introduced and left in place for approximately 4-6 hours in your peritoneal cavity. Metabolic waste products travel from your peritoneal capillaries to the dialysis machine from high concentration to low concentration. The fluid is then drained, and fresh peritoneal fluid is introduced in a continuous four-times-daily cycle. While on this procedure, you will be able to move and undertake normal daily activities.

CAPD is particularly useful in children. It is the first treatment in adults with residual renal function and for elderly patients with cardiovascular instability. Your doctor may limit the long-term use of peritoneal dialysis due to possible episodes of bacterial infections and damage to the peritoneal membrane.

Automated peritoneal dialysis (APD) is similar to CAPD, but it uses a mechanical device to perform fluid exchanges during the night. That way, you can remain free during the day as you need to perform a single exchange only.

  • Hemodialysis requires a short time for treatment, while for peritoneal dialysis, a longer time may be required
  • Hemodialysis is mostly done in hospitals and dialysis centres, while peritoneal dialysis must be done at home
  • Hemodialysis provides better clearance than peritoneal dialysis
  • The main complications of hemodialysis are hypotension, disequilibrium syndrome, muscle cramps, nausea, vomiting and fever. Main complications of peritoneal dialysis include infection of the peritoneum, catheter-induced non-peritoneal infections, weight gain and metabolic disturbances.

The Department of Nephrology at Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai offers comprehensive renal replacement therapy options for patients with chronic kidney disease, including haemodialysis and peritoneal dialysis services. The hospital has been providing dialysis services for years through highly qualified specialists. The peritoneal dialysis centre strives to assist patients with advanced kidney diseases by offering a fully equipped chronic kidney disease clinic where a dedicated team of doctors and dialysis support staff collaborate to provide the comprehensive and highest-quality care to patients with renal disorders.

Home dialysis services with training and support are provided for both peritoneal and haemodialysis. We provide nutritional counselling to patients requiring ongoing guidance from dieticians with experience in dealing with renal disorders. The peritoneal dialysis centre has a highly efficient staff-to-patient ratio with the staff members including certified chronic hemodialysis technicians, registered nurses, renal social worker, and a renal dietitian, all of whom work under the direction of a committed medical director to provide the highest quality of treatment and care for a diverse range of renal diseases.