Open AccessClinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
Author(s) -
Deep Lamichhane,
Sanjay Paudyal,
Pukar Maskey,
Santa Bir Maharjan,
Arbin Joshi,
Bimal Pandey,
Jay Shah,
Vijay Jaiswal
Publication year - 2017
Publication title -
journal of society of surgeons of nepal
Language(s) - English
Resource type - Journals
eISSN - 2392-4772
pISSN - 1815-3984
DOI - 10.3126/jssn.v18i2.18566
Subject(s) - medicine , arteriovenous fistula , surgery , hemodialysis , fistula , complication , general hospital , vascular surgery , chronic renal failure , cardiac surgery , general surgery
A functioning arteriovenous fistula (AVF) is essential for maintenance hemodialysis (HD) in a patient with chronic renal failure. This study explores the creation of AVF as an integral activity in a general surgical unit by a general surgeon.Methods: This is a hospital based cross sectional study done at Patan Hospital patients who underwent creation of AVF from January 2015 to June 2015 were included in the study. Patient demographic and clinical data were documented. Outcome and complications of AVF surgery were obtained over a 6 months period from the time of vascular access creation.Results: Thirty-seven patients were operated in the study period with a mean age of 35.44 years and M: F ratio of 2.7:1. There were 3 immediate and 3 delayed failure with 81.81% (n=27) patency rate at 6 months follow up. The maturation time was 3-7weeks (mean +/- SD of 4.83 +/- 1.053). Complication occurred in 4 patients, namely arm edema (n=3) and haematoma (n=1).Conclusion: The creation of AVF for HD performed in a general surgery unit is a safe procedure with satisfactory outcome and acceptable level of complications. Journal of Society of Surgeons of Nepal, 2015; 18 (2), Page: 2-5