Best Doctors in India for Peritoneal Dialysis

Profile Highlights:

  • Dr. Salil Jain is considered one of the best nephrologists in Gurugram and the Delhi region.
  • He is the director of the Department of Nephrology at Fortis Memorial Research Institute, Gurugram, and has more than 21 years of experience.
  • Dr. Salil Jain is an exceptional clinician having several national and international publications to his credit.

Profile Highlights:

  • Dr. Colonel Akhil Mishra is currently working as Sr. Consultant, Nephrology at Indraprastha Apollo Hospital, New Delhi. He is known for establishing the Department of Nephrology and Transplant at Apollo Hospital in 1995. He has more than 35 years of experience in this field.
  • Prior to this he was working in the Army Medical Corps for 28 years (1965-1993), where he held the position of Senior Advisor in Medicine and Nephrology.
  • Dr. Akhil Mishra is also known for conducting the First Kidney Transplant of the Indian Armed Forces at Army Hospital, Delhi in 1991.
  • Dr. Mishra took pre mature retirement at the rank of Colonel in the year 1993. Subsequently, he established the Department of Nephrology in Escorts Research & Referral Hospital.
  • He had been awarded the Vishisht Seva Medal by the President of India in 1980. He started the first kidney transplant in Army and Apollo Hospital, Delhi.
  • Throughout his career, Dr. Akhil Mishra has been awarded Star Performer Consultant three times, at Indraprastha Apollo Hospital, Jan 2013, Sept 2014 & Jan 2015.
  • Dr. Mishra has also been honored in 2013, by His Holiness the Dalai Lama for his dedicated work in the field of Kidney transplantation.
  • He was also felicitated by the Indian Society of Nephrology (North Zone) with the Life Time achievement Award in Nephrology on 23rd Jan.2015 for his huge contribution to the growth of Nephrology.

Profile Highlights:

  • Dr. Sidharth Kumar Sethi is one of the well-known nephrologists in the NCR region and has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.
  • Dr. Sidharth Kumar Sethi has been a part of an 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and an Expert committee involved in the formulation of guidelines for Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections.

Profile Highlights:

  • Dr. Sunil Prakash is one of the best nephrologists in Delhi.  Services offered by him are the diagnosis and treatment of urinary infections, nephritis, kidney stones, chronic kidney disease, and cystic kidney diseases stand out.
  • He also guides, indicate,s and monitors the treatment of hemodialysis, peritoneal dialysis, and kidney transplantation.
  • The key specialties of Dr. Sunil Prakash are Dialysis and Renal Failure. Today, he is considered one of the top nephrologists in Delhi for kidney transplants.

Profile Highlights:

  • Dr. Suman Lata Nayak is one of Delhi’s most prominent Transplant physicians and was the founder of the Nephrology Department at the Institute of Liver and Biliary Sciences.
  • Throughout her career, she has been actively involved in clinical research. Dr. Suman Lata Nayak’s research in the field of kidney transplantation, TB, and liver disease in patients, has made a significant impact on improving protocols in India.

Profile Highlights:

  • Dr. Sanjiv Jasuja is a Nephrologist & Transplant Physician at the Indraprastha Apollo Hospitals, Sarita Vihar, and at Apollo Hospitals, Noida. Along with an MBBS, his educational qualifications include an MD in Medicine, a DNB in Nephrology, and an MNAMS in Nephrology.
  • His 22 years of medical practice are highlighted by his memberships in various prestigious national and international medical societies including the Indian Society of Nephrology, Indian Society of Organ Transplant, Indian Society of Critical Care, Indian Society of Clinical Research, International Society of Nephrology, and European Dialysis & Transplant Society.
  • Dr. Sanjiv Jasuja maintains a dedicated medical practice which is evident by his busy schedule in switching between the two branches of Apollo Hospitals, which he manages efficiently. Due to his firm hand and calm demeanor during operations, he has earned a respect among his patients which is evident by his high patient satisfaction rate.

Profile Highlights:

  • Dr. D K Agarwal is a well-known nephrologist, who is currently associated with Indraprastha Apollo Hospitals, as a Senior Consultant in Nephrology. For over 20 years, he has been involved in nephrology, with indoor as well as outdoor patients.
  • He specializes in Renal Transplant, hemodialysis, CAPD, and all kidney problems and diseases along with critical kidney patients with emergency management.
  • Dr. Agarwal also specializes in handling kidney patients due to Diabetes and Hypertension. He has also published 59 papers national and international.
  • Dr. Agarwal is also a life member of several renowned societies such as the Association of Physicians of India; Indian Society of Electrocardiology; Indian Society of Nephrology; Indian Society of Organ Transplantation, Hyderabad Transplant forum, and Indian Association of Clinical Medicine 1994.

Profile Highlights:

  • Dr. Kailash Nath Singh is one of the best Nephrologists working in New Delhi, Delhi.
  • Dr. K.N. Singh is currently working as a leading Senior Consultant in Nephrology & Multi-Organ Transplant unit at Indraprastha Apollo Hospital, New Delhi, India. Prior to this Dr. Kailash was in various reputed Hospitals of the Country like Nazarth Hospital, Allahabad (Home Town), Jaslok Hospital, Mumbai, PGI Chandigarh, Sir Ganga Ram Hospital & PSRI Hospital Delhi, and Trainee & Consultant in the Department of Nephrology & Kidney Transplant.
  • Dr. Singh has over 20 years of experience in this field. Dr. Singh has been invited to various National & International conferences as a Speaker, Chairperson, and Delegate.
  • Dr. Singh’s Scientific works have been published in several Indian & International Journals.
  • He has also been facilitated recently by his Holiness “DALAI LAMA” for his excellent work in Kidney Transplant.

Profile Highlights:

  • Dr. Shyam B Bansal is Associate Director in Medanta’s Institute of Nephrology and Kidney Transplant.
  • He is also known for establishing the department of Nephrology at Medical College Gwalior in 2006.
  • Apart from that, Dr. Bansal has published extensively in the field of kidney transplantation and also has the honor of publishing the first case report of kidney transplantation in an HIV-positive patient in India.

Profile Highlights:

  • Dr. Dinesh Khullar with an experience of over 25 years as a renal transplant physician, has been associated with over 5000 successful kidney transplants in his career. Out of these, more than 1200 were performed at Max Hospital, Saket. This includes among the most challenging transplants, such as ABO-incompatible, transplantations in highly sensitized recipients, and high-risk transplants associated with significant comorbidities.
  • In addition to this, Dr. Dinesh Khullar is credited for setting up an online hemodiafiltration unit for the first time in North India for advanced and state-of-the-art dialysis.

Best Hospitals in India for Peritoneal Dialysis

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi. With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Peritoneal Dialysis

Peritoneal Dialysis is a procedure for the removal of waste products from the blood when the kidneys fail to function properly. The procedure allows filtering the blood in a way different than the hemodialysis or blood-filtering procedure.

During this procedure, a cleansing fluid will flow through the catheter (a tube) into a part of the abdomen. The peritoneum (lining of the abdomen) will act as a filter to remove all the waste products from your blood.

After a certain time, the fluid along with the filtered waste products will flow out from your abdomen. The doctor will discard this fluid. Although you can do these treatments at home or even during traveling, it is not the right option for everyone having kidney failure.

Why do I need to undergo this procedure?

You need to go for this procedure if your kidneys are not functioning properly any longer. Damage to the kidneys usually advances due to long-term conditions over the years. These conditions may be:

 

Although both- Peritoneal Dialysis and hemodialysis can filter your blood in an effective way, Peritoneal dialysis has far-fetching benefits.

  • It allows lifestyle flexibility as you can perform dialysis anywhere. If you are working, traveling, or are at a place that is far from the hemodialysis center, you can perform Peritoneal Dialysis easily.
  • There is less accumulation of fluids, potassium, and sodium as you need to do this dialysis more continuously. Ultimately, you can have a diet more flexible than the diet during hemodialysis.
  • It allows you to retain kidney functions longer than hemodialysis.

 

You might consider certain factors to decide which type of dialysis is good for you. These factors must include your overall health, your home environment, your kidney function, your lifestyle, and your personal choices. The peritoneal procedure is the right option for you if you have some kidney function, want to minimize disturbance to your daily activities, want flexibility in working or traveling, and are intolerant to rapid changes in a fluid balance that associates with hemodialysis.

How to prepare?

You might need to undergo an operation for the insertion of the tube carrying dialysate in your abdomen. Your doctor will insert this tube after administering local or general anesthesia to you. The insertion of the tube will be near your belly button. After the insertion of the tube, your doctor will suggest you wait for a month before starting the treatment of Peritoneal Dialysis so that the site of insertion of the catheter will heal with time.

What to expect?

The dialysate will flow into your abdomen during the procedure and will be there for around 6 hours. This is the dwell time of the dialysate. The dextrose present in it helps to filter the chemicals, waste, and fluids present in your blood from the blood vessels of your abdominal cavity lining. The solution containing the waste products drawn from the blood will be drained into the collection bag after the dwell time gets over. This entire process of filling & draining is known as an exchange. The schedule of exchange varies for each method of Peritoneal Dialysis which are:

Continuous ambulatory peritoneal dialysis

In this, your abdomen will be filled with dialysate and remain there till the dwell time gets over. After this, the doctor will drain the fluid. You might need around 5 exchanges in the day time and an exchange with a longer dwell time at the time of sleeping. You may do the exchanges anywhere at a clean place. With the dialysate dwelling in your abdomen, you can perform all your routine activities.

Continuous cycling peritoneal dialysis

The other name for this is Automated Peritoneal Dialysis. It makes use of an automated cycler (a machine) that can perform multiple exchanges during the night time when you are asleep. It automatically fills dialysate into your abdomen, allows it to dwell, and then drains into a fresh bag that you can empty later in the morning. However, you need to be attached to the machine for nearly 12 hours at night. There is a lower risk of peritonitis.

Results

The factors determining the working of Peritoneal Dialysis for waste & extra fluid removal from your blood are:

  • How quick your peritoneum is in filtering the waste
  • The number of exchanges each day
  • Sugar concentration in the dialysis solution
  • Your size
  • Quantity of dialysis solution you are using
  • The length of the dwell time.

Risks

The most common complications of the Peritoneal Dialysis include:

  • Infection of the lining of your abdomen (peritonitis)
  • Weight gain
  • Hernia due to holding of fluids longer in your abdomen
  • Inadequate dialysis

 

Your doctor might recommend some tests to check whether your dialysis is effectively removing the wastes or not. These tests may be Peritoneal equilibration test (PET) or clearance test. If the results are not up to the mark, your doctor will either increase your number of exchanges, use a dialysate that contains a higher concentration of dextrose, or increase your amount of dialysate. You can eat the right foods to get better results and improved overall health. Also, ensure that you regularly take your medications.

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