Nephrology
The Department of Nephrology is Centre of Excellence in Shrimann Superspeciality Hospital, which provides comprehensive health care for patients with different types of Renal (Kidney) disease including Clinical Nephrology, Interventional Nephrology, Critical Care Nephrology, Haemodialysis, Peritoneal Dialysis & Kidney Transplant.
DEPARTMENT OF NEPHROLOGY PROVIDES FOLLOWING SERVICES
- Clinical Nephrology
- Interventional Nephrology
- Critical Care Nephrology
- Hemodialysis – more than 24,000 treatments per annum
- CAPD – Active CAPD programme
- Renal Transplant – including ABOi Transplant
- Special Therapeutic Procedures
CLINICAL NEPHROLOGY
Shrimann Superspeciality Hospital is one of the best centre in the region for management of Kidney related problems. We have State-of-the-art facilities for Renal pathology, with complete biochemical, immunological, microbiological and histological (including Immunofluorescence and Immuno-Histo-chemistry) - back up available under one roof. Angiographic, genetic and HLA studies are available in-house for Renal Transplantation & diagnosis of other diseases. We provide mangement of follwing disease
- Reduced Kidney Function - CKD - Chronic Kidney Disease, AKI Akute Kidney Injury
- ESRD End Stage Renal Disease
- Fluid Electrolyte and Renal Tubular disorders
- Glomerular disease
- Interstitial disease
- Genetic Kidney Diseases like ADPKD
- Autoimmune diseases of Kidney Like - Lupus Nephritis, IgA Nephropathy, SLE, Vasculitis
- CKD-MBD Chronic Kidney Disease - Mineral Bone Disease
- Aneamia due to Chronic Kidney Disease
- Single or Solitary Kidney
INTERVENTIONAL NEPHROLOGY
We are one of the few centers in Punjab which provides complete services for Interventional Nephrology including. Department of Nephrology provides complete spectrum of Interventional Nephrology services like
- AV fistula
- Complex fistula
- Permcath insertion
- Fistula angioplasty
CRITICAL CARE NEPHROLOGY
We are one of the few centers of Punjab to provide CRRT for critically ill patients in ICU/ICCU with multi-organ failure, where peritoneal or routine haemodialysis are not possible for various reasons.
Various procedures done with this technique are:
- SCUF (Slow Continuous Ultrafiltration)
- CVVH (Continuous Veno-Venous Hemofiltration)
- CVVHD (Continuous Veno-Venous Haemodialysis)
- CVVHDF (Continuous Veno-Venous Hemodiafiltration)
We also provide latest Hemodiafiltration in such sick patients.
HEMODIALYSIS
We have 28 bedded state of the art Hemodialysis unit in technical collaboration with Fresenius Medical Services, Germany which provides latest generation, fully computerised bicarbonate haemodialysis machines with volumetric ultrafiltration and adjustable sodium facility, with better patient safety profile. We are doingapprox 2000 Dialysis treatments every month.
Our centre provides Ultra-Pure R.O. (Reverse Osmosis) water confirming to European Standards for the dialysis, to ensure patient safety and prevent long term complications on haemodialysis and online Hemodiafiltration.
We have state-of-the-art computerized dialyzer re-use system which ensures safety & adequacy of dialysis and also economise dialysis for the patient.
Our department is amongst the first few centres in India to start Online Hemodiafiltration Programme and has extensive experience in managing Hemodynamically Unstable Cardiac patients
Our department is amongst the first few centres to start Expanded Haemodialysis Programme using Medium cut-off membrane providing extensive clearance of Uremic Toxins which is not possible by regular hemodialysis.
We have separate units for Hepatitis B & C positive patients.
Our centre confirms to International Standards of Infection Control for Hemodialysis Unit.
We provide following services apart from Emergency Dialysis round the clock.
- Low Flux / High flux HD
- Online HDF
- SLED
- CRRT
- Expanded Dialysis - HDx -expanded dialysis (latest MEDIUM CUT OFF MEMBRANE)
PERITONEAL DIALYSIS
Department is running active Continuous Ambulatory Peritoneal Dialysis (CAPD) programme for ESRD patients. Our team has extensive experience in managing CAPD patients and department provide following services for Peritoneal Dialysis
- CAPD
- APD
- Acute PD
- TELE CAPD
SPECIAL THERAPEUTIC PROCEDURES
- Plasmapheresis
- Double Filtration Plasmapheresis
- Hemoadsorption
- Immunoadsorption
KIDNEY TRANSPLANT
Our Transplant Team has more than 25 years of experience in managing Kidney Transplant patients. The Department of Nephrology provides most comprehensive transplant services in the region including HLA Lab, Histopathology & TDM services to provide complete Pre-Transplant workup and Post-Transplant follow up of patients. We are successfully running following programmes
- Live related Kidney Transplant
- ABOi Kidney Transplant
- Cadaveric/Deceased Donor Kidney Transplant
TRANSPLANT HISTOPATHOLOGY
Histopathology is gold standard in making right diagnosis for managing Transplant patients and the department is headed by Dr.(Prof.) Kusum Joshi, who is Renal (Kidney) Histopathologist of international repute and formerly she was Head – Department of Pathology in PGIMER, Chandigarh.
TRANSPLANT BIOLOGY
Immunological matching (HLA Typing) is base of successful transplant. Our department is headed by Dr.(Prof) Suraksha Agrawal who was one of the pioneers in establishing HLA Typing Programme in India. She was formerly Head of Immunology lab at SGPGI Lucknow & she has experience of more than 30 years to her credit. We are one of the few centers in North India who has got inhouse HLA Typing facility to support Kidney Transplant Programme.
HIGHLY QUALIFIED FACULITY -
We strongly believe in providing quality care to our patients which include high degree of knowledge based professional excellence, which can match international standards. We are proud to have highly qualified professional with vast experience in subject and are of international repute
- Dr. (Prof.) S.C. Tiwari
- Dr. (Prof.) Kusum Joshi
- Dr. (Prof.) Suraksha Agrawal
- Dr. Rajeev Bhatia
- Dr. Ajay Marwaha
- Dr. Onkar Singh