Services & Procedures

Services

Dialysis

CARE Hospitals offers cutting-edge dialysis services, with the latest technical advances combined with a caring, patient-centric approach.

 Hemodialysis

Hemodialysis uses a special filter called a dialyzer as an artificial kidney to clean the blood of waste products and remove the extra fluid that accumulates. The dialysis machine pumps blood through the dialyzer. The cleaned blood flows out of the dialyzer and back into the bloodstream.

Most people undergo three dialysis sessions each week, for four to five hours each time using their dialysis access. During dialysis, a person also receives medication to replace the hormones that the kidneys are unable to produce.

Peritoneal Dialysis

Peritoneal dialysis utilizes the peritoneal membrane — the lining of the abdominal cavity. The peritoneal membrane is very large and has a rich blood supply.  Peritoneal dialysis uses a solution called dialysate that drains into the belly spaces around the intestines and other organs. A small tube (catheter), placed through a minor surgical procedure, carries the dialysate in and out of the belly.

The dialysate remains for two to six hours and the wastes, extra fluid and excess chemicals pass from the blood vessels in the peritoneal membrane into the dialysate fluid. Then the dialysate fluid is drained from the belly via the catheter. Once the fluid is drained, new fluid is placed to begin the process anew. Peritoneal dialysis can be performed during the day (CAPD) or with a cycling machine overnight while the patient sleeps.

 The team that performs peritoneal dialysis in Hyderabad helps patients to become comfortable during the dialysis procedure. The team is available 24 hours to assist patients.

Managing Critical Care Nephrology

CARE Hospitals’ tertiary care facilities enable doctors to treat all kinds of kidney diseases under intensive care, deploying advanced techniques backed by superior expertise. The critical care nephrology facilities include:

• Continuous renal replacement therapy (CRRT)
• Sustained low efficiency dialysis
• Slow continuous ultra filtration
• Plasma exchange (Plasmapheresis)
• Extracorporeal removal of toxins & poisons (Haemoperfusions)

The institute has perfected and refined several laparoscopic techniques that offer patients improved outcomes. These techniques are now routinely used for many kidney disorders and also for removing and transplanting kidneys in live-donor transplants.

Kidney transplantation

Kidney transplant is the best option for patients with end-stage kidney disease. We have a smooth live related and cadaver organ donation program with enviable outcomes. Our graft survival rates are comparable with the best centers in the world. CARE Hospitals has a Centre of Clinical Excellence for transplants which includes kidney, liver and heart, etc. The kidney transplantation program at CARE Hospitals is a state-of-the-art program utilizing the newest and safest immunosuppressive agents. The institute focuses on both live and cadaver organ transplantation. Our kidney transplant nephrologists work closely with transplant surgeons and urologists to ensure high clinical outcomes.

Biopsy

Percutaneous Renal Biopsies

At CARE Hospitals percutaneous renal biopsy is an integral part of the clinical practice at the Kidney Institute. It is essential in the diagnosis of glomerular, vascular and tubulointerstitial diseases of the kidney, providing information that is invaluable in prognosis and patient management. The use of real-time ultrasound and automated biopsy needles has simplified and improved the success and safety of this procedure. The Kidney Institute continuously trains young nephrologists in the proper technique of performing renal biopsy procedures.

Open biopsy

After giving a general anesthetic, the doctor makes an incision in the skin and surgically removes a piece of the kidney. Depending on the lab findings, further surgery may be performed.

Nephropathology

Nephropathology is a pathology subspecialty, focusing on the microscopic diagnosis and interpretation of kidney biopsies. Most nephropathology focuses on understanding the key features associated with the disease processes seen in the patients’ own kidneys as well as in those who have received transplanted kidneys.

State-of-the-art procedures for kidney transplantation include:

• Cadaveric renal transplantation
• Cadaver-donor kidney transplantation
• Living donor kidney transplants (from both related and unrelated donors)
• Laparoscopic donor nephrectomy

Procedures

The nephrology team has significant experience in performing all kinds of procedures like:

• Acute kidney disease
• Diabetic kidney disease
• Collagen vascular disease
• Chronic kidney disease
• All types of glomerular diseases — acute glomerulonephritis, Nephrotic Syndrome etc.
• Immunological kidney diseases
• Polycystic kidney disease
• Congenital kidney disorders
• Obstructive nephropathy
• Renal stone diseases
• Acute & chronic renal failure
• Cadaveric renal transplantation
• Cadaver-donor kidney transplantation
• Living donor kidney transplants (from both related and unrelated donors)
• Laparoscopic donor nephrectomy
• Dialysis access procedures (jugular and femoral catheterization)
• Tunnelled catheter insertion
• Kidney biopsy
• Kidney scan
• Kidney transplantation