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Peritoneal dialysis

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Peritoneal dialysis
Overview

Peritoneal dialysis

Peritoneal dialysis uses the lining of your own abdomen to filter the blood and can be done at home. The Kidney Clinic offers CAPD/APD set-up, training and ongoing support for patients across Surat.

Nephrology & Dialysis · Surat

Peritoneal Dialysis

A flexible, home-based way to filter your blood — using your body's own peritoneal membrane, on a schedule that fits your life.

14+Years of practice
2Clinics in Surat
About the treatment

What is peritoneal dialysis?

 

Peritoneal dialysis is a kidney-replacement therapy that uses the peritoneal membrane — the natural lining of your abdominal cavity — as a filter. A sterile solution is placed into the abdomen through a soft catheter; waste and excess fluid pass from the blood across the membrane into the solution, which is then drained away.

At The Kidney Clinic, Dr. Anil K. Patel and the dialysis team assess your suitability, place the catheter, train you for safe home treatment, and support you throughout.

Why it helps

Advantages of peritoneal dialysis

 
  • Flexible treatment you can do at home
  • Helps preserve your remaining kidney function
  • Gentle, gradual fluid removal
  • Independence in managing your own care
  • No need for vascular access or related blood complications
Is it for you?

Who is a candidate?

 

Peritoneal dialysis may suit you if:

  • You have end-stage renal disease with a well-functioning peritoneal membrane
  • You prefer a flexible, home-based schedule
  • You have limited vascular access options
  • You want to be actively involved in your own care
It's an option for both adults and children. Suitability is confirmed through blood tests, imaging, and a full assessment by our team.
Two ways to do it

Types of peritoneal dialysis

 

CAPD

Continuous Ambulatory Peritoneal Dialysis — manual exchanges done by hand through the day, typically 3–4 daytime exchanges plus one overnight. No machine needed.

APD

Automated Peritoneal Dialysis — a machine (cycler) performs the exchanges automatically overnight while you sleep, freeing up your day.

How it works

The peritoneal dialysis process

 
1

Evaluation & suitability

Blood tests, imaging, and assessment confirm that peritoneal dialysis is right for you and that your peritoneal membrane works well.

2

Catheter placement

A soft catheter is surgically placed into the abdominal cavity, usually through a small incision near the navel, serving as the route for solution in and waste out.

3

The exchange cycle

Sterile dialysate flows in through the catheter. Over a set dwell time, waste and excess fluid pass from your blood across the membrane into the solution.

4

Drain & repeat

The used solution is drained out, carrying waste with it, and a fresh exchange begins — done by hand (CAPD) or automatically overnight (APD).

5

Training, monitoring & follow-up

We train you in safe home exchanges and sterile technique, then track effectiveness with regular check-ups and lab tests, adjusting your plan as needed.

Why patients trust us

Why choose Dr. Anil K. Patel

 

14+ years of dedicated nephrology and dialysis practice

Specialist training at MPUH Nadiad under Dr. M.M. Rajapurkar

Multidisciplinary care — nephrologists, dialysis nurses, and dietitians

Transplant centre partnerships with Mahavir Hospital & Universal Hospital

§

Home-dialysis training and ongoing patient support

Care in English, Hindi & Gujarati, with prompt response

Good to know

Frequently asked questions

 
What is peritoneal dialysis?
A kidney-replacement therapy for kidney failure that uses the peritoneal membrane — the lining of the abdominal cavity — as a natural filter to remove waste and excess fluid from the blood.
How does it work?
Sterile dialysis solution enters the abdomen through a catheter. Waste and excess fluid pass through the peritoneal membrane into the solution, which is drained after a set dwell time, carrying the waste out.
Who is a candidate?
People with end-stage renal disease who have good peritoneal membrane function — particularly those who want a flexible schedule, have limited vascular access, or wish to manage their own care.
What are the advantages?
Flexibility in where you treat, preservation of residual kidney function, gradual fluid removal, and independence — while avoiding vascular access and some blood-related complications.
Are there different types?
Yes — CAPD (manual exchanges through the day) and APD (a machine performs exchanges automatically overnight while you sleep).
How often is it performed?
With CAPD, typically 3–4 manual exchanges during the day plus one overnight. With APD, nightly automated cycles while you sleep.
What are the potential complications?
Possible issues include infection at the catheter exit site or within the abdomen, hernias, fluid imbalances, and long-term membrane changes. Regular follow-up helps monitor and manage these.
How is the catheter inserted?
It's surgically placed into the abdominal cavity, usually through a small incision near the navel, and secured to act as both the inlet for solution and the outlet for drainage.
Can it be done at home?
Yes — that's one of its main benefits. Proper training in performing exchanges, preventing infection, and maintaining sterile technique is essential.
How does it compare to hemodialysis?
Both replace kidney function but differ in location, frequency, and method. Hemodialysis usually needs specialised equipment at a centre; peritoneal dialysis can be done at home. The right choice depends on medical factors and your preferences.
Is it suitable for children?
Yes. Children with kidney failure can benefit from the flexibility and ease of at-home treatment, helping them lead a more normal life.
How is the dialysis solution obtained?
The dialysate — a sterile solution of electrolytes and glucose — is prescribed by your provider and delivered to you regularly according to your treatment plan.
Can I travel while on peritoneal dialysis?
Yes, with planning. Arrange for dialysate to be delivered to your destination and inform your healthcare team so your trip goes smoothly.
How is effectiveness monitored?
Through regular check-ups and lab tests that track kidney function, fluid balance, and overall health, so your treatment can be adjusted as needed.

Considering peritoneal dialysis?

Speak directly with Dr. Anil K. Patel to find out whether peritoneal dialysis suits you and what home-based treatment would involve.

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