Renal transplantation and Dialysis access

Renal transplantation
and Dialysis access

Kidney disease in Australia is steadily increasing problem in the Australian community. Some kidney function is essential for survival. In patients with inadequate kidney function, some form of Dialysis or kidney transplantation is required to remove waste products and toxins from the body. This process also helps to remove excess fluid from the body.
Mr Brooks has accumulated a wide variety of surgical skill to enable dialysis to be perform efficiently. He is able surgically insert short-term catheters, peritoneal catheters, create AV fistulas or perform kidney transplantations.

Peritoneal Catheters

Peritoneal Catheters are a tube inserted into the abdomen (belly) to provide a way to clean the body’s toxins (peritoneal dialysis). This involves the insertion of a tube (catheter) either through an open cut or more normally key hole surgery to use the belly (abdomen) as a way of inserting fluid and then removing the fluid with toxins. This generally enables the patient to dialysis from home and often avoids lengthy time at hospital.

Haemodialysis access (blood dialysis)

The most reliable long-term way of cleaning a patient’s blood who has severe kidney disease is to perform haemodialysis. This usually involves three sessions a week attached to a machine. Patients should consult their renal physician for their tailored routine. Mr Brooks understands the importance of maintaining a viable long-term dialysis option in ensuring their survival. He has a strong preference for using the patient’s own vein, as opposed to plastic (prosthetic such as PTFE). He also has preference for fistula closer to the hand to maintain future options, and where able the patient’s non dominant hand for comfort during dialysis.
Mr Brooks is also able to intervene either using open or key hole surgery such as a balloon (angioplasty) or stent to improve existing fisultas/ catheters to improve long-term function.

Kidney transplantation

As an active member of the Alfred vascular unit Mr Brooks participates on the kidney transplantation roster. Patients wanting to undergo a renal transplantation should direct their queries to their renal physician.