Renal medicine is an exciting field in modern era and essential one considering the growing prevalence of diabetes and metabolic syndrome. It is important to diagnose renal disease at an early stage as it helps to treat or delay the progression of renal diseaseRead More
Renal medicine is an exciting field in modern era and essential one considering the growing prevalence of diabetes and metabolic syndrome. It is important to diagnose renal disease at an early stage as it helps to treat or delay the progression of renal disease. Acute kidney injury may be fully recoverable, if diagnosed early and provided the inciting factors are duly addressed. At times, we need to support kidneys if they are failing, with renal replacement therapies (Intermittent hemodialysis for hemodynamically stable patients and slow low efficiency dialysis and continuous renal replacement therapy for hemodynamically unstable patients).
For patients with long standing renal failure, renal replacement therapy is necessary. Options include hemodialysis (blood purification with extracorporeal machine), peritoneal dialysis (dialysis using patients own abdominal cavity), renal transplant (implanting new kidney into the patient’s body from a voluntary live donor or from a deceased donor). The best form of renal replacement therapy is renal transplant.
Diagnostic field includes ultrasound abdomen, CT KUB with and without contrast, MRI abdomen, conventional renal angiograms, micturating cystourethrogram, intravenous urogramand renal biopsy. Renal biopsies are done under ultrasound guidance and needs angioembolization of renal arteries in the scenario of undue bleeding.
We, at Rela’s institute, offer state of art preventive, diagnostic, therapeutic and interventional nephrology services. We are reputed to have best nephrologist in Chennai, Tamil Nadu. In simpler terms, we have the top kidney specialist in Chennai.
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Rela’s Department of Nephrology comprises of state-of-the-art infrastructure, equipment with the most updated technology. Our infrastructure and technology standbest in India
We offer cost-effective renal screening, which helps you know your kidney status and treat or delay progression of disease. Early diagnosis and treatment delay the time on RRT (Delays starting dialysis or transplant) and gives a good quality morbidity free time which is priceless.
Ultrasound abdomen, CT – KUB without and with contrast, MRI Abdomen with and without contrast. Conventional angiograms, carbon dioxide angiograms, MR angiograms and state of art laboratories to diagnose auto immune disease, malignancy associated renal disease, mineral bone disease, metabolic and electrolyte imbalances. We offer renal pathology support with light microscopy and immune fluorescent microscopy and equipped to outsource for electron microscopy.
Under the label of Therapeutic Nephrology, we offer:
We offer hemodialysis equipped to run for 30 patients simultaneously. Machines, other equipment and spacing is per international standards at an affordable cost. Monthly surveillance program for clearance and session wise ultrafiltration surveillance helps us to sustain care.We offer online hemodiafiltration for selected cases. Maintenance team is in place to ensure the quality of services.
We offer SLED and SLED – F for hemodynamically unstable patients who are not able to afford CRRT.
We have dedicated CRRT machines to do continuous venovenous hemodialysis,continuous venovenous hemofiltration, and continuous venovenoushemodialfiltration. Tandem procedures including simultaneous endotoxin and cytokine adsorption are done as and when required.
We offer plasmapheresis with conventional membrane filtration and centrifugal technique. We also perform Sequential procedures like double filtration plasmapheresis, columns for Immunoglobulin removal and plasmadiafiltration.
We do both percutaneous and surgical CAPD catheter placements. CAPD for suitable candidates helps them carry day to day activity without any hinderance and minimizes hospital visits. We perform and train our patients to be equipped with manual exchanges and automated cycler exchanges. We offer continuous ambulatory peritoneal dialysis, daytime ambulatory peritoneal dialysis, nocturnal intermittent peritoneal dialysis, continuous cyclical peritoneal dialysis and peritoneal dialysis plus.
We have an experienced renal transplant team which includes well trained nephrologists, well trained urologists and specially trained transplant surgeons, well equipped anesthesia team with state of art transplant recovery rooms. Our inhouse transplant pathologist ensure early diagnosis and saves a lot of nephrons.
We offer tunneled cuff catheter insertion and percutaneous peritoneal dialysis catheter insertion. Our interventional radiology team is well equipped to do renal angioembolization in unexpected renal biopsy bleed and to do renal angiograms. Vascular surgeon constructs fine AV fistula access and offer vascular grafts in difficult access. AVFfistulograms, stenting and venoplasties are done, if need arises to ensure good functioning of Av fistula and adequate clearance.
The treatments we offer also include:
Live related and spousal donor transplants
ABO incompatible renal transplants after appropriate desensitization
Swap transplants for suitable pair, if it offers survival advantage to recipients and grafts
Transplant highly sensitized recipients when their cross match is positive by effective desensitization program in selected cases
Transplant in pediatric and geriatric age group
Combined liver kidney and combined pancreas kidney transplants for suitable patients
We also have a well-organized deceased donor program, and patients are evaluated periodically to ensure their fitness.