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Peritoneal Dialysis in Europe

Hospitals and medical centers in Europe performing Peritoneal Dialysis.

Grupo Hospitalario Quirón

Quirón has an internationally prestigious medical staff, the largest in the sector, and is also the principal hospital network in terms of patient numbers and care facility area. The group administers 38 healthcare centers, more than 2,864 hospital beds and 7,500 associate doctors.

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Peritoneal Dialysis

upon request

Hospital Ruber Internacional

The Ruber International Hospital is designed as a "whole hospital". thus achieving maximum efficiency in the organization and development of the various medical, welfare, educational and research activities.

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Peritoneal Dialysis

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Hygeia Hospital

HYGEIA Hospital is the first large private hospital to operate in Greece and has been a leading healthcare provider for the last 35 years. It is the first and only hospital in Greece to be accredited by the JCI.

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Peritoneal Dialysis

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Klinikum Stuttgart

One of Germany's largest hospitals, made up of more than 50 clinics and specialist institutes spanning all medical specialties. Kinikum Stuttgart is regarded as one of the best hospitals in Germany, and is a referral center for oncology, ENT, pediatrics and more.

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Peritoneal Dialysis

upon request

SARAFIANOS Private Clinic

SARAFIANOS is an ISO 9001 certified private clinic in Thessaloniki, Greece. Known for its long tradition of high quality health services since 1957, high sense of professionalism, respect for the patient, quality, thoroughness and consistency in the services provided

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Peritoneal Dialysis

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Hospital Quirón Valencia

Quirón Hospital of Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.

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Peritoneal Dialysis

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Florence Nightingale Istanbul Hospital

Şişli Florence Nightingale Hospital is one of the few leading health care institutions, which combines state-of-the-art medical technologies with a large and experienced team and the excellent service approach adopted in all of its operations.

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Peritoneal Dialysis

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Sant Joan de Déu-Barcelona Children’s Hospital

Sant Joan de Déu-Barcelona Children’s Hospital is one of the leading medical centers in Europe for childhood and adolescence medicine and offers a comprehensive and multidisciplinary approach to health care from birth through 21 years of age.

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Peritoneal Dialysis

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Dialysis centers in Europe (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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