Best Doctors in India for Peritoneal Dialysis
Best Hospitals in India for Peritoneal Dialysis
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
- City: Chennai, India
Hospital Highlights:
- Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is multi-specialty, tertiary care facility with 180 beds.
- The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
- City: New Delhi, India
Hospital Highlights:
- State-of-the-art technology and devoted healthcare professionals have been brought together under one roof at Venkateshwar Hospital to provide genuine medical care. The hospital’s professionals work together as a team to deliver the best possible treatment to their patients, using the most sophisticated equipment and information technology.
- Venkateshwar Hospital’s mission is to attain global excellence in healthcare by employing evidence-based, ethical clinical practices and cutting-edge technology by a team of highly skilled experts.
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
- City: Kerala, India
Hospital Highlights:
- Established in 2019, Apollo Adlux Hospital is the first Apollo Hospital in Kerala and the 73rd hospital owned by Apollo Group in India. With the state’s most advanced, comprehensive healthcare infrastructure and cutting-edge technologies, Apollo Adlux Hospital stands as an example of medical excellence in Kerala.
- With over 34 multi-specialty departments, the hospital believes in providing the best quality treatment to its patients at affordable rates, ensuring comfort at their difficult times.
- The 300-bed hospital is managed by a team of highly qualified and experienced experts who delivers exceptional hospitality to their patients and treats them with great compassion.
- With its affiliation with the Apollo Hospitals Group, the hospital aims in providing patients with top-notch healthcare services while also serving communities in Kerala.
- The hospital has good railway and road connections, and is conveniently close to Cochin International Airport.
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
- City: Noida, India
Hospital Highlights:
- Fortis Hospital, Noida, stands as one of the oldest and most trusted healthcare institutions in the region, setting a benchmark for comprehensive medical care.
- As the second mega hub hospital in the Fortis Healthcare Group, Fortis Hospital, Noida, upholds a legacy of trust among more than 1.2 million patients. By integrating top-tier professionals with cutting-edge technology, the hospital delivers superior treatment across various medical disciplines.
- Specializing in advanced Neurosciences, Orthopedics, Kidney and Liver Transplant Programmes, Fortis Hospital, Noida has successfully performed over 1,500 transplants, solidifying its reputation as a leader in specialized medical interventions.
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.