KIDNEY

KG Kidney Center — Renal Sciences

South India's Most Trusted Kidney Centre

Q: What is the difference between haemodialysis and peritoneal dialysis?

Haemodialysis filters blood through a machine 3x/week at a dialysis centre. Peritoneal dialysis uses your abdominal lining as a filter and can be done at home daily, offering more flexibility.

Q: Does KG Hospital perform kidney transplants?

Yes. KGH has a fully accredited kidney transplant programme with live-donor and deceased-donor transplants, pre-transplant evaluation and long-term follow-up.

Coimbatore's Most Comprehensive Renal Transplant Programme

From early CKD detection and preservation to dialysis, robotic-assisted transplant and advanced critical care nephrology — KG Kidney Center delivers world-class renal care with compassion. Trusted by over 40,000 kidney patients across South India.

Book Nephrologist Consultation → 🚨 Renal Emergency Line

Milestone 500+ Kidney transplants performed

Outcome 95% 1-year graft survival rate

24/7 365 Days dialysis & renal emergency

Experience 30+ Years of renal excellence

Renal Services

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CKD Management

Stage-specific care, preservation clinic

Early Detection ›

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Haemodialysis (HD)

In-centre, 24/7, high-flux membranes

24/7 ›

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Peritoneal Dialysis

CAPD & APD, home training programme

Home-Based ›

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Kidney Transplant

Live & deceased donor, ABO-incompatible

500+ Done ›

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CRRT — ICU Nephrology

CVVHD, CVVH, CVVHDF for AKI

Critical Care ›

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Glomerulonephritis & Vasculitis

Biopsy-guided, immunosuppression

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Kidney Stones (Nephrolithiasis)

Medical & minimally invasive treatment

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Book a Nephrology Consultation

Seen by a specialist within 24 hours

Nephrology Milestones & Regional Firsts

Pioneering Renal Care
in South India

Procedures and programmes performed for the first time in the region — setting new benchmarks in kidney care excellence at KG Hospital.

Landmark

500+ Kidney Transplants — Coimbatore's Highest Volume Centre

Over 500 successful kidney transplants with a 95% one-year graft survival rate — matching international benchmarks.

South India First

ABO-Incompatible Kidney Transplant — Outside Chennai

First ABO-incompatible renal transplant in South India outside Chennai using plasma exchange and rituximab desensitisation protocol.

Tamil Nadu First

Paired Kidney Exchange Programme — Tamil Nadu

First paired/swap kidney exchange programme in Tamil Nadu (2018), enabling incompatible donor pairs to find compatible matches.

Coimbatore First

Automated Peritoneal Dialysis (APD) Home Programme

First APD (cycler-based home dialysis) programme established in Coimbatore — currently 200+ active home dialysis patients.

Regional First

CRRT in Paediatric ICU — Continuous Renal Replacement

First dedicated paediatric CRRT programme in the Coimbatore region for critically ill children with acute kidney injury.

Rare Disease

Plasmapheresis for ANCA Vasculitis & Anti-GBM Disease

Established therapeutic plasma exchange programme for rare autoimmune nephritis — treating life-threatening conditions that previously required referral out of Coimbatore.

What We Treat & How

Nephrology Procedures & Treatments

Every patient at KG Kidney Center receives a personalised care plan developed by consultant nephrologists using evidence-based protocols.

All Dialysis Transplant Medical

Chronic Kidney Disease (CKD) Management

Stage 1–5, preservation clinic, SGLT2 inhibitor protocols

Preservation Focus

Chronic Kidney Disease progresses silently through five GFR-defined stages. KG Kidney Center's dedicated CKD Preservation Clinic focuses on slowing — and in early stages halting — progression through intensive BP control, RAAS blockade, SGLT2 inhibitors (empagliflozin, dapagliflozin), dietary modification and management of anaemia, bone disease and acidosis. We aim to delay or avoid dialysis for as long as possible with a shared decision-making approach.

Annual screening: eGFR + urine ACR for all diabetics and hypertensives

SGLT2 inhibitors — now first-line renoprotective therapy (KDIGO 2024)

Strict BP target <130/80 mmHg with ACE inhibitor or ARB

CKD anaemia clinic — ESA therapy, iron infusion, roxadustat

Joint nephrology–endocrinology CKD-Diabetes clinic every Thursday

📊 CKD Staging at KGH — What to Expect

Stage 1–2 (GFR ≥ 60): Lifestyle, risk factor control, annual monitoring
Stage 3 (GFR 30–59): Nephrology review, medication optimisation, complication screening
Stage 4 (GFR 15–29): Transplant workup initiated, dialysis access planning, pre-dialysis education
Stage 5 (GFR <15): Renal replacement therapy — HD, PD or pre-emptive transplant

Haemodialysis (HD)

In-centre, satellite, home HD, high-flux, HDF, nocturnal

24/7

KG Kidney Center's dialysis unit has 40+ dialysis stations operational 24 hours a day, 7 days a week. We use high-flux polysulfone membranes and offer haemodiafiltration (HDF) for improved middle-molecule clearance and survival benefit. A dedicated AV fistula creation programme with trained vascular surgeons ensures optimal dialysis access for every patient. Emergency dialysis is available at any hour for acute kidney injury.

40+ stations — day, evening and overnight shifts available

High-flux HD and online haemodiafiltration (OL-HDF)

AV fistula creation clinic — minimising catheter use

Water treatment plant meeting AAMI standards for ultra-pure dialysate

Emergency acute HD within 2 hours of referral — 24/7

Peritoneal Dialysis — CAPD & APD

Home-based, full training programme, 24/7 helpline support

Home-Based

Peritoneal dialysis (PD) uses the peritoneal membrane as a natural filter, allowing patients to dialyse at home without visiting a centre. KG Kidney Center runs one of Tamil Nadu's most active PD programmes — with dedicated PD nurses providing comprehensive training over 7–10 days, followed by home visits and a 24/7 telephone helpline. APD (automated PD using a cycler machine overnight) is available for patients who prefer hands-free dialysis during sleep.

CAPD — 3–4 manual exchanges daily; full independence

APD (automated/cycler) — overnight treatment, free daytime schedule

Tenckhoff catheter insertion under local anaesthesia

Preserves residual kidney function longer than HD

24/7 PD helpline + home visit programme for troubleshooting

🏠 KGH PD Programme — Milestones

First automated PD (APD) programme established in Coimbatore
Over 200 active CAPD/APD patients currently enrolled
KGH PD nurses trained at national PD training centres

Kidney Transplant Programme

Live donor, deceased donor, ABO-incompatible, paired exchange

500+ Transplants

KG Hospital's kidney transplant programme is one of the most active in Tamil Nadu, with over 500 transplants performed and a 1-year graft survival rate of 95% — matching international benchmarks. Our multidisciplinary transplant team includes transplant nephrologists, urological surgeons, transplant coordinators, immunologists and psychosocial support workers. We offer ABO-incompatible transplants with desensitisation, paired kidney exchange, and enrolment on the TRANSTAN deceased-donor waiting list.

Live-donor transplant — related, emotionally-related, altruistic

Deceased-donor transplant via TRANSTAN registry

ABO-incompatible transplant — plasma exchange + rituximab desensitisation

Paired / swap kidney exchange programme

Protocol biopsy programme for long-term graft surveillance

🏆 Transplant Milestones at KGH

500th kidney transplant completed — landmark for Coimbatore region
First ABO-incompatible renal transplant in South India (outside Chennai)
First paired kidney exchange — Tamil Nadu (2018)
95% 1-year graft survival — matching UNOS/ERA-EDTA benchmarks

CRRT — Continuous Renal Replacement Therapy

CVVHD, CVVH, CVVHDF for critically ill ICU patients

Critical Care

CRRT is a slow, continuous form of renal replacement therapy used exclusively in the ICU for haemodynamically unstable patients with acute kidney injury (AKI) who cannot tolerate the rapid fluid shifts of conventional haemodialysis. KG Hospital's nephrology and critical care teams deliver 24/7 CRRT with dedicated circuit nursing and daily prescription review. Anticoagulation is individually tailored — citrate, heparin or anticoagulant-free protocols.

Indicated in AKI with haemodynamic instability, septic shock, multiorgan failure

CVVHD, CVVH and CVVHDF modalities — selected per clinical need

Regional citrate anticoagulation (RCA) — reduces bleeding risk

Daily CRRT dose review by consultant nephrologist + intensivist

Transition to intermittent HD/PD as haemodynamics improve

Glomerulonephritis, Vasculitis & Autoimmune Nephritis

Renal biopsy, IgA nephropathy, ANCA vasculitis, lupus nephritis

Biopsy-Guided

Immune-mediated kidney diseases require expert histopathological diagnosis and complex immunosuppression management. KG Kidney Center performs ultrasound-guided renal biopsies with specialist renal histopathology reporting (light microscopy, immunofluorescence, electron microscopy). RPGN (rapidly progressive GN) is treated as a medical emergency with urgent biopsy and induction immunosuppression. Plasmapheresis is available for anti-GBM disease and ANCA vasculitis.

IgA nephropathy — RAAS blockade + SGLT2i; sparsentan where indicated

ANCA vasculitis — rituximab induction + azathioprine/MMF maintenance

Lupus nephritis (Class III–V) — joint nephrology-rheumatology clinic

Anti-GBM (Goodpasture's) — urgent plasma exchange + cyclophosphamide

FSGS, membranous GN — tailored immunosuppression protocol

Infrastructure & Technology

State-of-the-Art Renal Facilities

Every facility at KG Kidney Center is purpose-built to deliver the highest standard of renal care safely and comfortably.

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Dialysis Unit

40-Station Dialysis Unit — 24/7

High-flux polysulfone membranes, online haemodiafiltration (HDF), AAMI-standard ultra-pure water treatment and separate isolation bays for hepatitis B patients.

40+ Stations

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Renal Biopsy

Ultrasound-Guided Renal Biopsy Suite

Real-time ultrasound-guided native and transplant kidney biopsies with on-site renal histopathology — light microscopy, immunofluorescence and electron microscopy.

Same-Day Reporting

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Transplant OT

Dedicated Transplant Operating Suite

Laminar-flow transplant OR with advanced perfusion technology, intraoperative renal Doppler, and cold ischaemia time tracking for optimal graft outcomes.

Laminar Flow OT

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CRRT

CRRT Machines — Prismaflex & Multifiltrate

Fresenius Multifiltrate and Prismaflex CRRT platforms supporting CVVHD, CVVH and CVVHDF with regional citrate anticoagulation protocols for ICU patients.

24/7 ICU Nephrology

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PD Training

Dedicated PD Training Centre

Purpose-built peritoneal dialysis training room with simulation models for CAPD/APD technique, exit-site care, and troubleshooting — 7–10 day comprehensive training.

Home Dialysis

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Renal Lab

NABL-Accredited Renal Diagnostics Lab

24/7 eGFR, urine ACR, immunosuppressant drug levels (tacrolimus, cyclosporine), complement studies, ANCA and anti-GBM serology — all in-house.

NABL Accredited

What is the difference between haemodialysis and peritoneal dialysis?+

Haemodialysis filters your blood through a machine at a dialysis centre, typically 3 sessions per week, each lasting 3–4 hours. Peritoneal dialysis uses the lining of your abdomen as a natural filter — done daily at home either manually (CAPD) or via an overnight automated cycler (APD). PD offers greater lifestyle flexibility and better preservation of residual kidney function. KGH nephrologists help you choose the right modality based on your clinical condition, lifestyle and home circumstances.

Does KG Hospital perform kidney transplants?+

Yes. KG Hospital has a fully Government-accredited kidney transplant programme. We have performed over 500 transplants, offering live-donor, deceased-donor, ABO-incompatible and paired kidney exchange options. Our 1-year graft survival rate is 95%. A dedicated transplant coordinator manages your entire journey from evaluation to discharge and long-term follow-up.

Can CKD be treated without dialysis?+

Absolutely — and this is our primary goal. In CKD Stages 1–4, rigorous management of blood pressure, diabetes, diet and medications (particularly RAAS blockers and SGLT2 inhibitors) can significantly slow or halt progression. KGH's CKD Preservation Clinic focuses on protecting residual kidney function for as long as possible, delaying dialysis by months to years in many patients.

What is CRRT and when is it used?+

CRRT (Continuous Renal Replacement Therapy) is a slow, continuous form of dialysis used in critically ill ICU patients who are too haemodynamically unstable for conventional haemodialysis. It runs 12–24 hours continuously, removing fluid and toxins gently. KGH's nephrology and critical care teams provide round-the-clock CRRT for AKI in sepsis, cardiac surgery, liver failure and other critical conditions.

How do I know if I need to see a nephrologist?+

Consult a nephrologist if you have: swelling in legs or face; foamy, dark or blood-tinged urine; high blood pressure that is hard to control; diabetes with kidney complications (high creatinine, protein in urine); abnormal eGFR or creatinine on blood tests; or a family history of kidney disease. KGH's Renal Screening Clinic requires only a simple blood and urine test — ask your GP for a referral or call us directly.

Does KG Hospital accept CMCHIS and insurance for dialysis?+

Yes. KG Hospital is empanelled with CMCHIS (Chief Minister's Comprehensive Health Insurance Scheme), ESI, ECHS and most private insurers including Star Health, New India, HDFC Ergo, Bajaj Allianz and 40+ TPA partners. Many patients receive dialysis at no direct cost under these schemes. Contact our billing helpdesk at 0422-4323888 for pre-authorisation and cashless processing assistance.