Best Doctors in India for Peritoneal Dialysis
- Top Nephrologist | Apollo Hospital, New Delhi, India
- 20+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Gaurav Sagar is currently working as a consultant nephrologist at Apollo Indraprastha Hospital, New Delhi. He has over ten years of experience in renal medicine with a special interest in vascular access, kidney transplant, and critical care nephrology.
- Dr. Sagar has been a pioneer in practicing and promoting Interventional Nephrology in North India and was part of the team which conducted the first ABO-incompatible transplant in North India.
- Nephrologist, Chennai, India
- Over 43 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Prakash K C is one of the senior Nephrologists from Tamil Nadu, with over 43 years of experience managing renal disorders.
- He provides consultation and a wide range of medical services like Ureteroscopy (URS), Kidney Transplant, Hemodialysis, etc. His team ensures a friendly environment for patients.
- Dr. Prakash is involved in many pieces of research and got his work published in periodicals and textbooks.
- Nephrologist, Chennai, India
- Over 29 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. B Subba Rao is one of the best Nephrologists in Tamil Nadu, with over 29 years of experience.
- Dr. Rao offers consultation and various services like Nephrolithotripsy, Hemodialysis, Hemodiafiltration (HDF), Percutaneous Nephrolithotripsy, CKD, Kidney Stone Treatment, Kidney Failure Treatment, etc.
- Dr. Subba Rao has been awarded the Vocational Excellence Award for his contributions to the field
- Nephrologist, Chennai, India
- Over 23 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Rajeev Annigeri is a well-known Nephrologist from South India with 23 years of experience in the field of renal disorders treatment.
- He went under special training in Peritoneal Dialysis from the University of Missouri, USA.
- Dr. Annigeri ensures a fully supportive environment for the patients. The doctor provides many medical services like Adrenalectomy, Kidney Transplant, Hemodialysis, Kidney Surgery, Hemodialysis, etc.
- Nephrologist, Chennai, India
- Over 29 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. S Rajagopalan Seshadri is one of the best Nephrologists from Tamil Nadu, with over 29 years of experience.
- Dr. S Rajagopalan provides a wide range of medical services as a specialized Nephrologist/Renal Specialist.
- He is known for excellent patient care. Patients also visit Dr. Rajagopalan for other services like Proteinuria, Kidney Transplant, Hemodialysis, Nephrectomy, Percutaneous Nephrolithotripsy, CKD, Kidney Failure, etc.
- Nephrologist, Gurugram, India
- Over 20 years’ experience
- Manipal Hospitals, New Delhi
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.
Best Hospitals in India for Peritoneal Dialysis
Hospital Highlights:
- Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
- It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
- Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
- With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
- Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
- The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.
- City: Chennai, India
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.
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
- City: Bengaluru, India
Hospital Highlights:
- Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
- Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
- It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
- Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
- The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
- Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
- The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
- In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
- City: Hyderabad, India
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.
- City: Mumbai, India
Hospital Highlights:
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and treatment services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
- City: Chennai, India
Hospital Highlights:
- Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
- Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
- MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
- With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
- MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
- They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
- Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
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:
- High blood pressure
- Polycystic kidney disease (a disease in which there are multiple cysts in the kidneys)
- Diabetes
- Glomerulonephritis or inflammation of the kidneys
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.