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Peritoneal Dialysis in Asia

Hospitals and medical centers in Asia performing Peritoneal Dialysis.

Assuta Hospital

The new Assuta Hospital was opened in 2009, and claims to be the most modern hospital in the middle east.

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Peritoneal Dialysis

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Sunway Medical Centre

A world class medical institution offering tertiary healthcare services that cover a wide range of specialties.

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Peritoneal Dialysis

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Fortis Vasant Kunj

Fortis Flt. Lt. Rajan Dhall Hospital is a Centre of Excellence for Cardiac Sciences, Renal Sciences, Diabetology, Pulmonology and Thoracic Sciences and a specialty center for Joint Replacement, Genito-urinary, Cosmetic Surgery and Dental care.

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Peritoneal Dialysis

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Fortis Malar Hospital

One of the largest private hospitals in Chennai, containining five specialty centres: Heart Institute, Institute for Renal Sciences, Specialty Centre for Joints, OBG and Gynecology centre and a Diabetes centre.

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Peritoneal Dialysis

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Columbia Asia Hospitals

A 200-bed facility located at Gateway Center in Northwest Bangalore. The hospital opened in 2008 and provides comprehensive tertiary-level services, such as cardiac operations, orthopedics and neuroscience, as well as secondary-level medical care.

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Peritoneal Dialysis

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National University Hospital

A 928 bed teaching hospital offering a full range of medical, surgical and diagnostic services. NUH serves as a refferal center for cancer patients, pediatrics, cardiology and other specialties.

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Peritoneal Dialysis

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Sevenhills Hospital

SevenHills Group of Hospitals (SHHL) has been delivering Healthcare services at the highest level, since past 25 years. SevenHills Hospital, Mumbai, is a world class integrated Healthcare Delivery System, that provides comprehensive Healthcare...

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Peritoneal Dialysis

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Moolchand Medcity

Trust based hospital that treats around 7,000 international patients a year. India's first JCI and comprehensive NABH accredited hospital.

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Peritoneal Dialysis

upon request

Columbia Asia Hospital - Palam Vihar

A modern 100 bed hospital opened in 2008, located in Gurgaon, outside of New Delhi.The hospital is a part of the Columbia Asia Group, which has an international patients office able to assist foreign patients with all aspects of medical travel.

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Peritoneal Dialysis

upon request

Dialysis centers in Asia (Page 1 of 1)

About Peritoneal Dialysis

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.

What is Peritoneal Dialysis?
Peritoneal dialysis is a medical procedure to treat severe chronic kidney disease. The peritoneum inside the abdomen is used as a membrane through which fluids and other substances in the blood like urea, glucose, electrolytes, albumin, etc, are exchanged.

Peritoneal dialysis is an alternative treatment to hemodialysis. It is not a common form of dialysis. Although it can be performed at home, it has many risks and expenses. Peritoneal dialysis is not recommended if the patient has scarring in the peritoneal membrane or any other inflammatory bowel diseases.

How is Peritoneal Dialysis Performed?
A catheter is placed in the abdomen usually 10 to 14 days before the dialysis begins.
There are some peritoneal dialysis catheters that can be used immediately, however, it involves complications.

Peritoneal dialysis is known as exchange. An exchange involves the drainage of the dialysis fluid known as dialysate from the peritoneum and introduction of fresh dialysate into the peritoneum. Patients may require about four to six exchanges every day.

There are three steps involved in peritoneal dialysis:

  • Fill: The dialysate fills the peritoneal cavity inside the patient’s abdomen. The peritoneum is rich in minute blood vessels; therefore there is a constant supply of blood that can be filtered by osmosis and diffusion.
  • Dwell: When the fluid fills the peritoneal cavity, excess fluids and waste products in the blood pass through the peritoneal membrane and into the dialysate.
  • Drain: After some time, the dialysis fluid is drained out and new dialysis fluid replaces it.

The patient’s physical condition, diet and medications are monitored on a regular basis. If required, changes can be made in the treatment plan of the patient, and the number of exchanges, time between exchanges or the solution amounts may be altered.

What are the two main types of Peritoneal Dialysis?
The two main types of peritoneal dialysis are:
  • Continuous Ambulatory Peritoneal Dialysis (CAPD)
    During this procedure, the dialysate solution is retained in the peritoneum for four to six hours. Then, the dialysate is drained out of the peritoneum and again a fresh dialysate solution is filled in. This method is most commonly used for peritoneal dialysis.
  • Continuous Cycling Peritoneal Dialysis (CCPD)
    During this procedure, the dialysate solution is automatically filled and drained from the peritoneum with the help of a machine. The duration of this process is 10 to 12 hours, and it is mostly performed at night when the patient is asleep.

Recovery : - The surgical dressing is changed once a week for 2 to 4 weeks unless there is drainage.
- Dressing changes are done daily once the exit site of the catheter is healed.
- The patient may experience bruising and discomfort after the access is placed for about one to two weeks.

Risks : - Infection around the catheter site
- Peritonitis, i.e. infection in the lining of the abdominal wall
- Severe pain in the rectum or perineum due to problems with the catheter
- Mild back pain and bloating of the abdomen during the procedure
- Encapsulating peritoneal sclerosis, caused by a thick layer of fibrin inside the peritoneum that obstructs bowels

After care : - The access should be cleaned and monitored daily.
- Drainage, swelling or redness around the access site may indicate infection.
- Scabs that occur at the exit site should never be picked or removed.
- The catheter should be regularly checked for cracks as it may lead to infection.
- The end of the catheter should be secured to the skin or dressing to avoid any tugging and tension.
- The patient should not swim before the exit site is healed.
- Using hot tubs should be avoided.
- The patient should consult the doctor about using any cream or powder around the exit site, and taking showers.
- The patient should report any pain or infection symptoms to the doctor.

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