CAPD Catheter Insertion

CAPD Catheter Insertion in Hyderabad

Continuous ambulatory peritoneal dialysis (CAPD) is a method of renal replacement therapy done in patients with chronic kidney disease. During peritoneal dialysis, waste products are removed from the blood when your kidneys no longer function properly. Blood is filtered differently in this procedure than in the more common haemodialysis procedure. A CAPD catheter is inserted to facilitate the procedure of peritoneal dialysis.

Peritoneal dialysis involves a cleansing fluid flowing through a tube (catheter) into your abdomen. The lining of your abdomen (peritoneum) measures waste products and removes them from the blood. Within a period of time, your abdomen releases filtered waste products into the environment.

CARE Hospitals Department of Urology provides comprehensive evaluation, diagnosis, and treatment of acute and chronic urological conditions in both adult and paediatric patients as well as acute and chronic renal failure.

The Urologists at our centre are skilled in a wide range of minimally invasive techniques, laser surgery, laparoscopic surgeries for kidney and bladder disorders, laser endourology for kidney and prostate stones, male infertility and sexual problems, and paediatric urology, female urology, reconstructive urology and renal transplantation.

As the leading provider of innovative diagnostic, treatment, prevention, and services for a wide range of urologic and kidney disorders, including CAPD Catheter Insertion in Hyderabad & Peritoneal Dialysis in Hyderabad, CARE Hospitals combines medical expertise, advanced technology, and state-of-the-art infrastructure and surgical facilities to demonstrate ourselves to be the best urology hospital.

Risks

Peritoneal dialysis can cause the following complications:

• Infections: Infections of the abdominal lining (peritonitis) are common complications associated with peritoneal dialysis. It is also possible for an infection to develop at the site where the catheter is inserted into your abdomen to drain the cleansing fluid (dialysate). A person using dialysis who is not properly trained is at greater risk of infection.

• Weight gain: Dialysis fluid contains sugar (dextrose). It can cause you to absorb hundreds of extra calories every day, resulting in weight gain. High blood sugar can also be caused by extra calories, especially if you have diabetes.

• Hernia: Storing fluid for a long period of time could cause muscular strain.

• An inadequate dialysis regimen: The effectiveness of peritoneal dialysis diminishes over time. It is possible you will have to switch to haemodialysis.

How do you prepare?

An operation is required to insert the catheter into your abdomen that carries the dialysate in and out. The insertion might be performed under local anaesthesia or general anaesthesia. A tube is typically inserted near the belly button.

Once the catheter site has healed, your doctor may recommend waiting up to a month before starting peritoneal dialysis treatments.

In addition, you will receive training on how to use the peritoneal dialysis equipment.

What you can expect?

Peritoneal Dialysis in Hyderabad is performed as follows:

• Dialysate flows into your abdomen and remains there for a prescribed amount of time (dwell time) - usually four to six hours

• Dialysate contains dextrose, which helps remove wastes, chemicals and excess fluid from your blood by filtering it through tiny blood vessels in the stomach lining.

• A sterile collection bag is used to collect the solution, waste products, and waste products drawn from your blood during dwell time.

You exchange your abdomen after filling it and draining it afterwards. Differing peritoneal dialysis methods call for different schedules of exchanges. They are as follows:

• Continuous ambulatory peritoneal dialysis (CAPD)

• Continuous cycling peritoneal dialysis (CCPD)

Continuous ambulatory peritoneal dialysis (CAPD)

Your abdomen is filled with dialysate. You allow it to sit for a prescribed amount of time, then drain it. Fluid is drawn through the catheter and out of your abdomen by gravity.

With CAPD:

• During the day, you may need to exchange three to five times and sleep with one exchange that lasts longer than the others.

• The exchanges can be performed at home, at work, or anywhere that is clean.

• Dialysate occupies your abdomen while you go about your normal activities.

Continuous cycling peritoneal dialysis (CCPD)

Automated peritoneal dialysis (APD) is a form of dialysis that uses a machine (automated cycler) to perform multiple exchanges while you sleep. In a cycler, dialysate is filled into your abdomen, let dwell for 24 hours, and then discharged into a sterile pouch that you empty in the morning.

With CCPD:

• It is necessary to remain attached to the machine overnight for about ten to twelve hours.

• The machine is not connected during the day. But when you start the day, you have one exchange lasting the entire day.

• As a dialysis patient, you may have a reduced risk of peritonitis due to the less frequent connections and disconnections than you might have with CAPD.

Your doctor will consider your medical condition, lifestyle, and preferences when 

determining what method of exchange is best for you. Your doctor may make suggestions to make your exchange more personalized.

In order to see if your dialysis is removing enough waste products, your doctor may suggest the following tests:

• Peritoneal equilibration test (PET): During an exchange, a blood sample and a dialysis solution sample are compared. By measuring the flow of waste toxins from your blood into the dialysate, you can find out if the waste toxins pass quickly or slowly. You can use this information to figure out whether your dialysis would benefit from a shorter or longer stay in your abdomen.

• Clearance test: To determine how much urea is being removed from your blood during dialysis, a blood sample and a sample of used dialysis solution are analyzed. Urine can also be tested for urea concentration if you still produce urine.

The doctor may change your dialysis schedule if the tests show your dialysis schedule is not removing enough wastes:

• Extend the exchange of goods and services.

• Use more dialysate during each exchange.

• Select a dialysate that contains a higher dextrose concentration.

Techniques for CAPD catheter insertion

The PD catheter can be introduced into the abdominal cavity in several ways. In terms of safety and initial results, open surgery and laparoscopic surgery are preferred. It is becoming increasingly popular due to the ability of this technique to allow partial omentectomy, omentopexy, and adhesiolysis to be performed during the first catheter placement. However, there is a risk of unsatisfactory placement of the catheter and the possibility of bowel perforation with percutaneous (radiological) catheter insertion.