Nephrology and Dialysis

Renal biopsy, a key procedure for the definitive diagnosis of renal injury, enables the implementation of targeted therapeutic pathways to prevent the progression of nephropathy. This procedure is performed safely with the assistance of ultrasound guidance and also accommodates patients referred from other nephrology centers.

The center's extensive experience in vascular access preparation allows for the creation of native and prosthetic arteriovenous fistulas, as well as the placement of tunneled central catheters in the subcutaneous tissue.

The center is particularly recognized for addressing complex and challenging vascular access cases.

Hemodialysis treatments are provided both on a chronic and acute basis. Chronic treatments are available at the main hospital center and at three peripheral units located in Manfredonia, Vieste, and Rodi Garganico.

These treatments utilize advanced purification techniques, supported by state-of-the-art equipment at the centers, which allow for the implementation of alternative purification methods, such as hemodiafiltration.

All centers also host patients from other locations requesting temporary stays for dialysis. Acute treatments for critically ill patients are provided in an inpatient setting, with specialized care involving depurative support (removal of toxic substances) and treatments for septicemia with multi-organ dysfunction (sepsis toxin extraction).

The decision to decentralize treatment services in the areas of Vieste and Rodi Garganico is driven by the need to enhance the quality of life for nephropathic patients, alleviating the burden on those who would otherwise have to travel long distances to access hemodialysis centers. This approach also ensures continuity in the care pathway, from conservative management to replacement therapies, both dialysis and biological, by integrating patients into kidney transplant waiting lists at accredited transplant centers

Peritoneal dialysis is an option for patients who, while under the care of the nephrology center, enjoy greater autonomy by performing the dialysis at home following training provided by the nephrology team.

Catheter insertion is performed when clinically indicated and according to the suitability criteria established by the nephrologist, in collaboration with a surgeon specialized in laparoscopic procedures. The procedure is carried out by a dedicated and highly specialized team.

The Nephrology Department (COU) is an accredited center for the study and treatment of Porphyria.

The center follows specific and detailed diagnostic protocols, including hemin infusion, a procedure carried out with strict adherence to clinical guidelines by professionals with expertise in the field.