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Advanced TreatmentWith Utmost Care

Nanavati Centre of Renal Sciences comprises of the Nephrology & Urology Departments working together as a cohesive Unit.

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. Isolation rooms dedicated to Hepatitis B/C & HIV patients are at par with global standards.

The Department of Urology surgery treatment and Kidney Transplant is equipped with the latest diagnostic and therapeutic facilities like Uroflowmetry, Ultrasound, Doppler, Lithotripsy and Holmium Laser. The Department has dedicated suites for endoscopic procedures ensuring quality treatment as well as complete privacy and comfortable surroundings. The Department is unique in that from its inception it has provided with the latest cutting edge technology in all subspecialties of Urology like ESWL, Laser surgery, , Laparoscopic surgery, Urodynamics.All the urological conditions like infections, birth defects, stone disorder, infertility, urinary incontinence, tumors, prostate enlargement, obstructions etc.

An Andrology wing also handles matters pertaining to Male Infertility, Male sexual dysfunction and related disorders.

The Nanavati Center 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.

The Nanavati Renal Sciences and Kidney Transplant Centre is part of the Nanavati Super Speciality Hospital– one of India’s largest, private sector tertiary care hospitals. It was conceived to provide state-of-the-art comprehensive Nephrology, Urology and Renal Care Management.

Our highly experienced team consists of internationally recognized Nephrologists and Urologists, who are experts in all aspects of diagnostic and therapeutic procedures related to Renal Transplantation, Nephrology and Urology. At the Centre we have pioneered the ‘Combined Management’ approach with an aim to optimize patient care on a personalised level.

Treatment & Surgeries

It 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

  • Patient has severe shortness of breath due to-
    • Fluid overload
    • Severe metabolic acidosis
  • Life threatening hyperkalemia (high potassium levels in blood)
  • Bleeding diathesis due to uremia
  • Pericarditis, i.e. fluid collection around the heart
  • Patient is in altered mental state or has motor weakness due to involvement of nerves

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.

Preperation 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.

Home Hemodialysis

In foreign countries, patient and their relatives are taught to do hemodialysis at home usually at night time before sleeping. This is done anywhere from 3 to 7nights a week. One has to arrange for a hemodialysis machine, water supply unit, disposable, medicines and some chemicals. A separate room is also required. The patients remain in touch with their dialysis center by telemetry or otherwise. In India due to costs and other issues this modality has yet to take off, however Nanavati is pledged to provide the home hemodialysis to any person willing for it.Full technical support will be given by department of nephrology Nanavati Super Speciality Hospital.

There are two main types of kidney transplants: Living Donor Transplants and Deceased Donor Transplants.

Kidney Transplant

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.

This operation is provided by team of Nanavati Urologist and Nephrologists in Mumbai, in conjunction with the Dept of Nephrology and kidney Transplant.

Other Services provided by the Nephrology Dept include

  • Blood Pressure Clinic
  • Diabetic Nephropathy Clinic
  • Management of obstructive kidney diseases, preventing stone disease recurrence
  • Creation of AV fistula, Central line and perma cath for long term hemodialysis
  • Care of Vascular access
  • Individualizing dialysis dose as per patient needs and Special emphasis on nutrition and physiotherapy

What does a Kidney do?

Kidneys are the two bean shaped organs, each about the size of a fist, located on either side of the spine at the bottom of the rib cage. Human beings have two Kidneys, which are responsible for a number of functions. The most important function is removing waste products and balancing fluid levels in the body. Other functions include regulating Blood Pressure, production of the hormone ‘erythropoietin’ which controls the making of red blood cells, converting Vitamin D from sunlight for stronger and healthier bones.

What is Kidney Transplant?

Kidney Transplant or Renal Replacement is the transfer of a healthy Kidney from one person into the body of a person who has little or no Kidney function.

Why is a Kidney Transplant necessary?

The loss of Kidney function, known as end-stage chronic Kidney disease or Kidney failure, is the most common reason for needing a Kidney Transplant. Transplant improves quality of life along with increasing life expectancy of the patient. Post a Kidney Transplant, the patient can discontinue Dialysis, resume normal diet and fluid intake

What are the benefits of Kidney Transplant?

There are many advantages of having a Kidney Transplant as compared to maintenance on Haemodialysis:

Eliminates the need for Dialysis and help patients enjoy a life filled with less restrictions (for instance greater freedom to travel), more energy and productivity

  • Increased life expectancy and better quality of life
  • More effective and less costly than Dialysis

How will the hospital help to manage the cost associated with Kidney Transplant?

Before moving forward with patient evaluation and surgery, the financial counsellors and coordinators review the patient’s insurance policy carefully and advise them in case of any concerns. Many insurance companies now include transplant benefits. The finance team at the hospital help patients to understand the rules in detail. Medicare and private insurance plans cover much of the cost of Kidney Transplant.

What happens during the Kidney Transplant operation?

During the Kidney transplant operation, the Kidney is placed into the lower part of the abdomen, on either the right or left side just above the hip bone. It is put in this spot because it is close to the bladder and gets the blood supply it needs. The incision for the surgery is usually about 4 to 6 inches long. The Kidney blood vessels are attached to branches of the patient’s iliac artery and vein. The Ureter is attached to the Bladder. In most instances, the recipient’s own Kidneys are left in place.

The surgery usually takes two to four hours. Family members can expect a five to six hour wait from the time the patient is taken to surgery until the time he / she is shifted to the recovery room. After the surgery, the transplant surgeon meets the family members to apprise them about the patient’s condition.

What happens after the transplant surgery?

The post-operative care is monitored around-the-clock by a team of Intensive Care Specialists, Transplant Best Doctors and Nurses. After surgery the patient is sent from the operating room to the recovery room and is closely monitored. Post recovery from anaesthesia, the patient is shifted to the specialised Organ Transplant ICU.

During the surgery, the recipient patient has a catheter inserted in his / her bladder so that urine can be drained out and the output can be carefully measured and monitored. The catheter is usually taken out four to five days after surgery. At that point, the patient might feel the need to urinate frequently. Eventually, the bladder adjusts and the normal urination frequency returns within few weeks.

Our team ofKidney Transplant

 

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Dr. Anup Chaudhari
Sr. Consultant Nephrology (Renal Specialist)

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Dr. Harish Pathak
Sr. Consultant Nephrologist & Transplant Physician (Renal Specialist)

Patient Success Story - Video

Equipped with Latest Technology & Facilities

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Cancer Ward

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Cath Lab

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Centre for Liver & Digestive Diseases and Day Care

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Centre for Liver & Digestive Diseases and Day Care

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Corridor

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Critical Care Unit 1

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Critical Care Unit

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CT Scan

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Deluxe Hospital Room

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Doctors Lounge

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Executive Lounge

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Critical Care Unit ICU Wing (CCU 3)

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Spine OT

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Isolation Room

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MRI

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Nanavati Suite Room FIN New

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Nanavati Premium Room

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Nanavati Deluxe Bougainvillea

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Nanavati OT

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Nanavati ORTHO OT

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Nanavati Spine OT With MicroScope

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Nanavati Robotic OT FIN

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Nanavati NEURO OT

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Nanavati Hemodialysis Machine

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Nanavati Birth Centre OT

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Nanavati Birth Centre Recovery Room

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Nanavati BMT Corridor

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Nanavati Birth Centre Delivery Room

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Nanavati BMT Room

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Nanavati Birth Centre Recp

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Nursing Stationm

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OPD 2

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Paediatric Ward

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Twin Sharing Room

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About Nanavati Hospital

The iconic healthcare institution of Mumbai, Dr. Balabhai Nanavati Hospital, blessed by Mahatma Gandhi and inaugurated in 1950 by India’s first Prime Minister Jawaharlal Nehru, is now reintroduced as Nanavati Super Speciality Hospital.

Nanavati Super Speciality Hospital has been at the forefront of healthcare for 65 years. Today the 350 bed facility housing 55 speciality departments offers a plethora of services in practically every field of modern medicine and health care. Our well-equipped hospital rooms, state-of-the-art departments and technologically advanced systems are all backed by the expertise and reputation of over 350 consultants, 100 resident doctors, 475 nursing staff and 1500 employees.

The hospital’s state-of-the-art Imaging Centre, spanning over 10,000 sq. ft, houses 3 Tesla 32 channel wide bore Magnetic Resonance Imaging (MRI) scanner with MR guided Focused Ultrasound Surgery (MRgFUS) and High-Intensity-Focused-Ultrasound, 64 slice Positron Emission Tomography–Computed Tomography (PET CT) with cardiac capability. The Catheterization Lab at Nanavati Heart Centre which is the first of its kind in Mumbai, has a team of highly experienced and qualified faculty providing 24x7 Interventional Cardiac Services.

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