Peritoneal Dialysis Catheter Placement In New Delhi
India | Surgical Details Cost And FAQ
CAPD or Peritoneal dialysis is a safe and effective method of dialysis, and is an excellent alternative to hemodialysis. Dr Vijayant Govinda Gupta in New Delhi India has vast experience in placing peritoneal dialysis catheter/CAPD catheter insertion.
What Is Peritoneal Dialysis ?
As a patient of kidney failure, you require some mechanism of replacing your lost kidneys. The kidneys are basically very efficient filters that clean the blood of all toxic materials. They act like a filter through which blood passes, and due to many biological processes, the kidney removes all waste material, which comes out as urine.
As the kidneys fail, urine output falls, and the toxic metabolites accumulate in the body such as potassium, phosphate, sodium and excess water. These toxic metabolites are the basis of all symptoms that chronic kidney patients face.
With kidney failure, all patients will require some form of dialysis if they havent received a transplant.
Conventionally most patients will proceed to hemodialysis, which is basically the process in which the patient is attached to a machine, in which the patients blood is cleaned.
Disadvantages of Hemodialysis Vs Peritoneal Dialysis
- Recurrent punctures to draw blood
- risk of HIV/AIDS/Hepatitis B
- Spending 4 to 5 hours thrice a week going to the hospital.
- Low or High Blood pressure
- Blood infections
- Need for an attendant
These disadvantages can be significant for somebody living a healthy and independant lifestyle.
The alternative to hemodialysis is peritoneal dialysis/continuous ambulatory peritoneal dialysis or CAPD. In peritoneal dialysis/CAPD, a tube or a soft catheter (CAPD catheter insertion) is placed inside your abdominal cavity, Trough this tube (capd catheter insertion), fluid is poured inside the peritoneal cavitythree times a day. It requires 15 to 20 minutes to do this process. Then the fluid remain inside, and the patient goes about with his daily chores and activities.
After 4 to 5 hours the fluid is removed and fresh fluid is put inside. By, doing this peritoneal dialysis or CAPD goes on while the patient is busy doing his daily work.
How peritoneal dialysis works is that, the abdomen is lined by a thin silky layer called peritoneum. The fluid that is put inside absorbs all the waste product from the blood via this lining and then when it is removed, it takes with it all the waste products.
The Advantages of Peritoneal Dialysis Or Capd Or Ccpd Are
- Time saving – 30 minutes thrice a day = 1.5 hours every day. Over a week it is 10 hours.
- Comfort of home – No need to go to the hospital
- Own convenience – Dialysis timings can be set according to own convenience.
- Painless
- No pin pricks/no Risk of HIV
- Patients have better control of BP and fewer medications
- Healthy active lifestyle – Apart from intense running, cycling and swimming, you can pursue all other daily activities, even exercise.
Peritoneal Dialysis Catheter Insertion In New Delhi India
The advantages of peritoneal dialysis or CAPD can only work if the catheter is placed correctly and without complications. There are many methods of capd catheter insertion, but there is mounting evidence that open or laparoscopic capd catheter insertion is the best method.
The success of the capd catheter placement/ capd catheter insertion is judged on the following parameters.
- Function – The capd catheter should function after placement
- Early Failure – Failure to put and remove fluid within 30 days of capd catheter placement.
- Late Failure – After 30 days of capd catheter insertion.
- Infections and complications.
There is enough evidence that shows laparoscopic and open methods are better on all parameters studies. Per cutaneous PD catheter insertion under ultrasound guidance is a common method, but it is much inferior to open and laparoscopic capd catheter insertion.
What to expect?
Peritoneal dialysis catheter placement/insertion or CAPD catheter placement/insertion is done under anesthesia to prevent pain.
You will have a 4 cm incision near your umbilicus and approximately 4 stitches. You will have to stay overnight for observation and dressing. We will test your capd catheter for function after a week and start your CAPD in 14 days. You will require training for peritoneal dialysis and CAPD, the training can be done at home or at my centre according to your wishes.
If you wish for a laproscopic placement it will require General Anesthesia.
For any further questions you can leave me a message.
Cost Of Peritoneal Dialysis Catheter Placement In New Delhi India
The cost is 50000 INR for Open and 75000 INR for Laparoscopic
(Charges of admission, catheter and consumable and dialysis are extra)
