Renal Health & Intervention
Centre for Renal Health and Intervention The department of Nephrology at the Centre for Renal Health and Intervention (CRHI), Meitra Hospital, Kozhikode aims to provide comprehensive clinical care integrated with transparent, ethical practices and cutting edge research. Our endeavour is to facilitate an exceptional experience for patients tethered to the best possible clinical outcomes, in tune with the larger Meitra Hospital vision. The department in phase one of inception is manned by two consultants and assisted by a dedicated team of Dialysis nurses, Technicians and other support staff. Comprehensive Nephrology care is offered; comprising of outpatient services including multidisciplinary speciality clinics, in patient renal care including consultation service and ICU dialysis, maintenance hemodialysis, peritoneal dialysis, treatment of poisoning, renal biopsy and management of Glomerular disease, Plasmapheresis and Plasma Exchange, The centre is equipped to provide the full range of transplantation services both living donor and deceased donor kidney transplantation. The hemodialysis unit and outpatient clinics of the CRHI are located on the first floor in the main outpatient area adjacent to the day care space. The outpatient department will function daily 9.30 AM to 5.00 PM. Maintenance hemodialysis unit will be operational Monday to Saturday 7.30 AM to 5.30 PM. Emergency hemodialysis will be provided round the clock. Inpatient services are available throughout the day.

Renal Biopsy

Renal biopsy is also known as kidney biopsy. It is a method of extracting tissues of the kidney for laboratory diagnosis and identifying the type and severity of kidney disease you have. Renal biopsy can be either percutaneous or open.

Procedure

Percutaneous biopsy:

  • You might be sedated through an intravenous line in your arm or leg and you will be positioned to lie on your stomach.
  • You have to remain still and be in the same position for about half an hour. 
  • A local anaesthetic will be injected to the entry site.
  • A small incision will be made through which a needle will be inserted into your kidney.
  • Imaging technologies such as CT or ultrasound will be used to direct the needle to your kidneys.
  • Your doctor will extract a tissue sample which can cause slight discomfort. The process will be repeated if more tissue samples are needed.
  • You will be asked to hold your breath while the samples are being extracted. It takes about 30-45 seconds to extract each sample.
  • After tissues have been extracted, pressure will be applied at the biopsy site to stop bleeding.
  • Appropriate dressing will be applied.

Open biopsy:

  • Open biopsy is usually preferred if you have problems with bleeding or blood clotting or if you have only one kidney.
  • This method is carried out in general anaesthesia.
  • An incision is made, and tissue samples are surgically removed from your kidneys.
  • This can also be performed using a laparoscope with smaller incisions.
  • The incision is then closed and suitable dressing will be applied.

Benefits

  • Shorter hospital stay; usually only 12-24 hours

Risks

  • Infections
  • Damage to kidneys or nearby organs
  • Pain at the biopsy site

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