- Kidney Transplantation treatment guide
Kidney transplantation places a healthy kidney from a living or deceased donor into the lower abdomen of a person with kidney failure, joining its artery and vein to the pelvic vessels and its ureter to the bladder, so the new kidney filters blood and produces urine while the failed kidneys are usually left in place.
- Living Donor Kidney Transplantation treatment guide
Living donor kidney transplantation is a planned pair of operations: a healthy, legally approved donor has one kidney removed, usually laparoscopically, and it is immediately transplanted into a recipient with kidney failure. It is the form of transplantation international patients can realistically plan in India.
- ABO-Incompatible Kidney Transplantation treatment guide
ABO-incompatible kidney transplantation allows a living donor whose blood group does not match the recipient's to donate, by first lowering the recipient's anti-blood-group antibodies with plasma exchange or immunoadsorption and an antibody-depleting drug (rituximab), then transplanting when the antibody level is low enough and continuing enhanced immunosuppression afterwards.
- Paired Kidney Exchange (Swap Transplant) treatment guide
Paired kidney exchange matches incompatible living donor–recipient pairs so each recipient can receive a compatible kidney, when immunology already writes a swap rather than a directed graft. Two or more transplants are coordinated, often on the same day, so kidneys move between pairs. Nephrology owns matching, immunosuppression planning and follow-up; the operations sit on the shared Urology sheets.
- Kidney Transplant Evaluation and Follow-up treatment guide
Kidney transplant evaluation and follow-up is the nephrology work-up and graft-surveillance pathway — HLA, DSA, protocol laboratories and biopsy thresholds — not the operation itself. Recipient and, where relevant, donor pathways run as outpatient or short-stay investigations. After a graft exists, clinics titrate immunosuppression and decide when a graft biopsy is due.
- Hemodialysis treatment guide
Hemodialysis in India filters blood through a dialyzer several times a week when residual kidney function can no longer control volume, solutes or symptoms. Costs vary with session frequency, facility, vascular access, laboratories and associated medical care. Blood is withdrawn through an arteriovenous fistula, graft or central catheter, passed through a dialyzer and returned. A typical session lasts about four hours. Anticoagulation, ultrafiltration and dry-weight targets are set for that sitting.
- Peritoneal Dialysis treatment guide
Peritoneal dialysis uses the peritoneal membrane and a catheter to exchange dialysis fluid at home or in hospital, when residual function and training already write PD rather than in-centre HD. Dialysis fluid is instilled through a peritoneal catheter, dwells, then drains. CAPD uses manual exchanges; APD uses a cycler overnight. Infection-prevention steps are part of the product.
- Continuous Renal Replacement Therapy (CRRT) treatment guide
CRRT is slow, continuous dialysis used in ICU when shock or severe fluid overload makes intermittent HD poorly tolerated. A large-vein catheter feeds a continuous circuit. Fluid and solute are removed over many hours. Filters, replacement fluid and anticoagulation are titrated in ICU.
- Sustained Low-Efficiency Dialysis (SLED) treatment guide
SLED is a hybrid ICU dialysis lasting several hours at slower blood-flow rates when haemodynamics already write something between CRRT and a short HD run. A dialysis catheter connects to a machine programmed for longer, slower solute and fluid removal, typically over 6–12 hours, with ICU monitoring.
- Dialysis Catheter Placement treatment guide
Dialysis catheter placement inserts a large-vein line so HD or ICU dialysis can start before a fistula is ready, or when temporary access is the honest first step. Under sterile conditions and usually ultrasound, a dialysis catheter is placed in an internal jugular or femoral vein. Position is checked and HD can follow if written.
- AV Fistula Creation treatment guide
AV fistula creation joins an artery to a vein, usually in the arm, so repeated HD needles can be used once the vein has matured. Under local or regional anaesthesia, selected vessels are anastomosed. The patient recovers with arm-elevation and thrill checks. Needling waits on documented maturation.
- Dialysis Access Management treatment guide
Dialysis access management treats stenosis, thrombosis or dysfunction in an existing fistula or graft so HD can continue without immediately creating a new access. Under imaging, balloon angioplasty, thrombectomy or limited surgical revision is performed. HD may follow the same day if written.
- Percutaneous Renal Biopsy treatment guide
Percutaneous renal biopsy samples native kidney tissue under imaging so histology can explain proteinuria, unexplained AKI or a suspected glomerular disease. The patient lies prone. Under ultrasound, a spring-loaded needle takes cores from the lower pole. Observation for bleeding follows. Tissue is sent for light microscopy and, when written, IF and EM.
- CAPD Catheter Insertion treatment guide
CAPD catheter insertion places a peritoneal dialysis catheter so home PD can start after healing and training, when the abdomen already writes that access. Under anaesthesia the catheter is tunnelled into the pelvis. A flush confirms flow. PD training usually waits days to weeks unless urgent-start PD is written.
- Central Venous Catheter (Permcath) Insertion treatment guide
Permcath insertion places a tunnelled, cuffed central venous catheter for hemodialysis when a fistula is not yet ready or is not possible. Under ultrasound and usually fluoroscopy, a cuffed catheter is tunnelled to a neck or chest exit site with the tip in the cavo-atrial region. HD can follow if written.