Peritoneal dialysis uses the lining of the abdomen, the peritoneum, as the filter. A soft catheter placed in the abdomen lets dialysis fluid flow in, absorb waste and fluid across the lining, and then drain out. It can be done by hand several times a day or by a machine overnight, as in continuous cycling peritoneal dialysis (CCPD), which Apex provides. A nephrologist in Mumbai at Apex trains patients and families before they begin.
How the Procedure Can Help
Peritoneal dialysis can be done at home, giving more flexibility in daily life, and some patients find it gentler on blood pressure and the heart than haemodialysis.
It can protect remaining kidney function for longer in suitable patients and avoids repeated needle use.
Risks and Considerations
The main risk is peritonitis, an infection of the abdominal lining, which makes strict hygiene essential. Catheter problems, hernia, fluid leaks and weight gain from sugar in the dialysis fluid can occur. Over many years, the peritoneal membrane may lose effectiveness, and the patient may need to switch to haemodialysis.