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Dialysis is a form of renal replacement therapy, typically started when approximately 90% of the kidney function is lost. The decision of when to start dialysis depends on the discussion between the nephrologist, patient and the patient’s family. The Nephrologist decides the need for starting dialysis based on kidney function tests, overall health, nutritional status,

There are two modalities of dialysis- hemodialysis and peritoneal dialysis. The choice between both of them is influenced by 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 the treating nephrologist.

In this type of dialysis, the lining of the abdominal cavity (peritoneal membrane) is used for dialysis. A soft catheter is placed into the abdominal cavity which is used to instil the fresh dialysate fluid and remove the effluent after dialysis is done..