Your Perth Specialist Dialysis Access Surgeons and Radiologists
Dedication. Expertise. Passion.
Dedicated, high volume adult & paediatric kidney transplant and dialysis access specialists in Western Australia
Transplant and Specialist Dialysis Access Surgeon
Dr Adam Philipoff
After completing surgical training in Western Australia, Dr Philipoff trained in world leading centres that specialise in: Dialysis Access Surgery, Complex Adult Liver & Kidney Transplantation, Liver Cancer Surgery, Emergency General Surgery, Machine Perfusion of Donor Organs & Paediatric Kidney Transplantation. (Cambridge Transplant Unit, Addenbrooke’s Hospital, Cambridge, UK; Great Ormond Street Hospital for Children, London, UK)
Dr Adam Philipoff is the surgical lead for Paediatric Kidney Transplantation in Western Australia (Perth Children's Hospital), offering the only transplantation service for children in Western Australia. He also performs high volume Dialysis Access surgery for adults at Sir Charles Gairdner Hospital.
Transplant and Specialist Dialysis Access Surgeon
Dr Ronald de Roo
Dr de Roo is amongst the most senior kidney transplant and dialysis access surgeons in Western Australia, he specialises in complex dialysis access cases and live-donor kidney transplantation at Sir Charles Gairdner Hospital, as well as general surgery procedures (including hernia and gallbladder surgery), with a focus on improving surgical outcomes for patients with chronic renal failure.
Previously appointed as Consultant Kidney and Pancreas Transplant & Dialysis Access Surgeon at Westmead Hospital (Sydney), Dr de Roo moved to Perth to be the lead surgeon of Western Australia's highest volume living-donor kidney transplantation surgical service (Sir Charles Gairdner Hospital) & senior dialysis access surgeon.
Transplant and Specialist Dialysis Access Surgeon
Clinical Associate Professor Lingjun Mou
Clin A/Professor Mou is a Consultant Surgeon specialising in Transplant Surgery (liver & kidney), Dialysis Access Surgery, Hepatobiliary Oncology Surgery and General Surgery. He is affiliated with WA Liver & Kidney Surgical Transplant Service at Sir Charles Gairdner Hospital. He practices privately at The Liver Centre, The Surgeons Collective and The Dialysis Centre, WA located in West Leederville.
Transplant and Specialist Dialysis Access Surgeon
Dr Suresh Navadgi
Mr Suresh Navadgi is a consultant surgeon specialising in Kidney Transplantation, Upper GI-Hepato-biliary Surgery, General Surgery & Dialysis Access Surgery. He is affiliated with Royal Perth Hospital as an Upper GI and Hepato-biliary Surgeon as well as at Fiona Stanley Hospital as a Renal Transplant Surgeon. He practices privately at The Liver Centre WA, The Surgeons Collective and Dialysis Centre, WA located in West Leederville.
Transplant and Specialist Dialysis Access Surgeon
Professor Luc Delriviere
Prof Luc Delrivière (Professor of Surgery, University of Western Australia), is also the senior surgeon & head of department of the Western Australian Liver & Kidney Transplantation Service at Sir Charles Gairdner Hospital. Over the past 15+ years of work, he has played a defining role in the expansion of liver and kidney transplant programs in Perth and across Western Australia. As a result, the volume of transplants and surgeries in these areas have now more than doubled
Specialist Interventional Radiologist
Dr Will Ormiston
Dr Will Ormiston is a skilled Interventional Radiologist who holds a triple fellowship in interventional and body radiology from esteemed institutions from the USA, Australia, and New Zealand. He is a leader in the field, pioneering the establishment of cryoablation services for renal cancer at Sir Charles Gairdner Hospital, the first of its kind in Western Australia. Dr Will’s expertise includes a wide range of interventional oncology and advanced endovascular procedures, including complex dialysis access cases.
Specialist Interventional Radiologist
Dr Matt Clifford
Dr Clifford is a specialist interventional radiologist at Perth Children's Hospital and has senior expertise in the endovascular management of arteriovenous fistula and dialysis access management.
Dr Clifford's expertise, combined with his dedication to patient-centred care, research, and education, positions him to provide his patients with innovative, evidence-based treatments tailored to their individual needs.
Patient Procedures and Resources:
Creating an arteriovenous fistula (AVF):
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An arteriovenous fistula is where a vein and an artery in your arm are joined directly (anastomosed) together under your skin. The blood in the artery flows into the vein with high pressure, making the vein larger and stronger. The vein is then usually large enough (matures) to work for your dialysis treatment after 6 to 8 weeks.
Peritoneal Dialysis Access Surgery:
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“Keyhole” Laparoscopic insertion of a Peritoneal Dialysis Catheter (A plastic tube is inserted into the abdomen using keyhole instruments) & this tube allows fluid to drain in (and drain out) of the abdomen to facilitate dialysis at home.
Fistulogram, plasty (balloon dilatation), endovascular stents and other procedures to the arteries and veins in your arm:
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This is a test in which X-ray contrast (dye) is injected into your fistula. The test gives information about the veins and artery of your fistula or graft, a bit like a map. The test helps to show any narrowing, or blockage in the blood vessels of your fistula - and then allows the interventional radiology team to perform any required treatment.
Hernia Surgery:
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Peritoneal Dialysis will worsen pre-existing abdominal hernia symptoms (including inguinal, femoral, umbilical, spigelian and incisional hernias) - and generally require repair to allow successful dialysis.
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Inguinal and femoral hernia repairs may affect how a future kidney transplant is performed, all patients that may require a future kidney transplant Must AVOID laparoscopic inguinal hernia repair (TEP) - and instead have a considered, planned open hernia repair in a lower abdominal location (to facilitate future kidney transplant).
Infusaport – Tunnelled Central Venous Access Surgery (for Chemotherapy)
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Insertion of a long-standing tunnelled line (underneath the skin) – to facilitate intravenous medication or chemotherapy administration.
Hickman/central dialysis line – Tunnelled Central Venous Access Surgery (for temporary or emergency dialysis)
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Insertion of a long-standing tunnelled line (underneath the skin) – to facilitate haemodialysis. (used as a bridge while waiting for your arteriovenous fistula to mature)
General Surgery
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Our surgeons also offer all typical “General Surgery” cases – including gallbladder and hernia surgery, removal of superficial skin and subcutaneous lumps and bumps
