Kidney Transplantation Renal Dialysis.

Renal Replacement Therapy

Renal Replacement Therapy

Renal Replacement Therapy  encompasses all life saving treatment options for advanced renal failure which are hemodialysis, peritoneal dialysis, hemofiltration, hemodiafiltration and renal transplantation.

Once it is determined that renal replacement therapy will be required, the patient (along with his physician) should consider the advantages and disadvantages of three types of therapy.

Renal replacement therapies are treatments for severe kidney failure (also called stage V chronic kidney disease or end stage renal disease). When the kidneys are no longer working effectively, waste products and fluid build up in the blood. Dialysis takes over the function of the failing kidneys to remove the fluid and waste products.

It is typically needed when about 90% or more of kidney function is lost.

Kidney Transplant

Kidney Transplant
Kidney Transplant : Apollo Hospitals, Delhi, (our associate Hospitals) is one of the leading renal transplant centers in India. With an experience of more than 1,000 transplants in the last decade, with excellent results comparable to the best centers in the world. With the team of very experienced transplant surgeons. Its a leading center for laparoscopic donor nephrectomy in India. A specially designed state-of-the-art transplant unit has been built for immediate post transplant care and subsequently managed with dedicated trained nurses, assigned to look after every patient.


Nephropathology division located at Indraprastha Apollo Hospitals, Delhi offers a variety of specialized procedures including renal biopsy pathology (light microscopy) with special staining procedures, and direct immunofluorescence. This services is provided by a highly specialized tram of Histopathologists FNAC is taken care by a separate experienced Cytopathologist.

Services Provided at Indraprastha Apollo Hospitals, Delhi
Specially Departments
  • Anesthesiology
  • Biochemistry
  • Apollo Cancer Institute
  • Medical Oncology
  • Apollo Chest pain Clinic
  • Clinical Pathology
  • Critical Care
  • Dental
  • Dermatology
  • Dietetics and Nutrition
  • ENT
  • Emergency Medicine & Trauma
  • Endocrinology
  • Apollo Liver & Digestive Disease Centre
  • Gastroenterology Hepatology Nutrition
  • Geriatrics
  • Gynecology and Obstetrics
  • Histopathology
  • Hematology
  • Immunology and Molecular Biology
  • Joint Surgery
  • Knee Replacement Hip Replacement Arthroscopy
  • Microbiology
  • Neurology
  • Neurosurgery
  • Nephrology
  • Orthopedic
  • Opthalmology
  • Apollo Centre for Advanced Pediatrics
  • Adolescent Medicine
  • Child Psychology
  • Developmental Pediatrics
  • General Pediatrics
  • Neonatology
  • Neonatal Surgery
  • Pediatrics Cardiology
  • Pediatric Cardiac Surgery
  • Pediatric Endocrinology
  • Pediatric Gastorenterology and Hepatology
  • Pediatric Hematology and Oncology
  • Pediatric Orthopedics
  • Pediatric Nephrology
  • Pediatric Neurology
  • Pediatric Surgery
  • Pediatric Urology
  • Physiotherapy and Rehabilitation
  • Psychiatry and Psychology
  • Radiology
  • Respiratory Medicine
  • Urology and Andrology
  • Apollo Centre for Advanced Surgery
  • Minimal Access Surgery Surgical Gastroenterology

Dialysis Services

Dialysis Services : Apollo Hospitals provides excellent conventional hemodialysis.

The department has the latest computerized bicarbonate hemodialysis machines with volumetric ultra filtration and adjustable sodium facility to ensure patient safety. 

We provides regular dialysis services from 7.00a.m to 8.00a.m (3 shifts). We have separate isolated units for hepatitis B and HIV infection patient in IAH, New Delhi.

Continuous monitoring of sick patients on dialysis is done throughout the dialytic procedure with the help of a highly specialized monitor.

More than 4000 hemodialysis are performed in 2 years ( 3 shifts of dialysis of 4 hours each ) including ICU dialysis, by a highly trained technical and nursing staff under the guidance of dialysis medical officers, and overall supervision of senior consultants.

CAPD (Chronic Ambulatory Peritoneal Dialysis)

More common is the home CAPD (Chronic Ambulatory Peritoneal Dialysis)  in India.

A small plastic catheter is inserted in the patient's abdomen by a simple surgery. The patient with his attendants are taught how to instill dialysis fluid in his abdomen through this catheter and then drain the used fluid out four hours later. This process has to be done thrice a day with all due precautions.

The Advantage of this Therapy

Patient can pursue a normal lifestyle. All the types of Dialysis (Hemodialysis, SLEDD, CRRT) are done at this centre. Besides this Nocturnal Hemodialysis,Home dialysis, Bed-side Renal Replacement therapies in ICU and other critical care areas are also provided Follow up after kidney Transplant

Preparation for Hemodialysis

Mental Preparation for Hemodialysis should be made well in advance before its need arises.
Primary AV fistula is the preferred type of vascular access.

It requires a surgical procedure that creates a direct connection between an artery and a vein. During dialysis, two needles are inserted into the fistula vein. Blood flows out through one needle, circulates through the dialysis machine, purified and flown back through the other needle.One should get a fistula created usually two to four months before the expected start of life saving hemodialysis. This will save the patient from temporary catheters, which are more prone to cause infections, injuries and clotting.

Kidney Disease

Kidney Disease : When the kidneys stop working, renal failure occurs. If this renal failure continues (chronically), end-stage renal disease results, with accumulation of toxic waste products in the body. In this case, either dialysis or transplantation is required.

Common Causes of End-Stage Renal Disease

Common Causes of End-Stage Renal Disease :

Kidney Transplantation

For the kidney transplant process, the required body part is to be taken from two different sources:

Apollo Hospital for Nephrology & Kidney Transplant

Apollo Hospital for Nephrology & Kidney Transplant: The Department of Nephrology and Kidney Transplant is equipped with the most advanced dialysis machines and offers round the clock service with facility for Continuous Renal Replacement Therapy (CRRT) for hemo-dynamically unstable patients and Continuous Ambulatory Peritoneal Dialysis.

The Department Kidney Transplant is equipped with the latest diagnostic and therapeutic facilities like Ultrasound, Doppler, IVP. The Department has rocedures ensuring quality treatment as well as complete privacy and comfortable surroundings. The Apollo for Renal Sciences and Kidney Transplant is well supported by world standard laboratories and by excellent interdepartmental cooperation from the Departments of Anaesthesia, Cardiology, Pathology, Immunology, Radiology and Interventional Radiology.


Dialysis replicates a normal kidney’s functions. This is used for the treatment of chronic kidney disease because kidney is incapable of performing all kinds of functions.

The choice between hemo or peritoneal dialysis is influenced by a number of considerations such as availability, convenience, underlying medical problems home situation and age. This choice is best made by discussing the risks and benefits of each type of dialysis with your concerned doctor and his support staff.

When to Start Dialysis?
It is recommended that dialysis begin well before kidneys disease has advanced to the point where life threatening complications affecting the brain, heart and lungs occur. If one starts dialysis very late, than the quality of life is not significantly improved even after receiving regular dialysis.

Emergency dialysis is usually given when
Blood tests reveal very high BUN/Serum Creatinine
However a patient is advised to go for early dialysis electively and not to wait for an emergency, as the emergency dialysis has much higher mortality and morbidity risks.

Kidney Transplant Services

Kidney Transplant Services : For the kidney transplant process, the required body part is to be taken from two different sources:

Kidney Transplant

Follow Up After Kidney Transplant
There are two main types of kidney transplants
Kidney transplant operations are guided by the and Human Organ Transplantation (Amndment ) Act 2011 of the Parliament of India. There are certains provisions which have to be fulfilled before a patient is considered for Renal Transplantation. These are the links on these provisions and the necessary affidavits for renal transplantation which are needed in each case.

Technology : Apollo Hospital, Centre for Kidney Transplant

Team of Specialists : Centre for Kidney Transplantation & Renal Diseases

The Advantage of this Therapy

Patient can pursue a normal lifestyle. All the types of Dialysis (Hemodialysis, SLEDD, CRRT) are done at this centre. Besides this Nocturnal Hemodialysis,Home dialysis, Bed-side Renal Replacement therapies in ICU and other critical care areas are also provided Follow up after kidney Transplant
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