Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

Introduction: 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 s...

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Autores principales:	Deep Lamichhane, Sanjay Paudyal, Pukar Maskey, Santa Bir Maharjan, Arbin Joshi, Bimal Pandey, Jay Narayan Shah, Vijay Kumar Jaiswal
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	Arteriovenous fistula Chronic renal failure General surgery unit Maintenance haemodialysis Surgery RD1-811
Acceso en línea:	https://doaj.org/article/722f746a61cb4ac7a996e136fbe580e4
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spelling	oai:doaj.org-article:722f746a61cb4ac7a996e136fbe580e42021-12-05T19:16:10ZClinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit10.3126/jssn.v18i2.185661815-39842392-4772https://doaj.org/article/722f746a61cb4ac7a996e136fbe580e42017-11-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/18566https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: 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 Deep LamichhaneSanjay PaudyalPukar MaskeySanta Bir MaharjanArbin JoshiBimal PandeyJay Narayan ShahVijay Kumar JaiswalSociety of Surgeons of NepalarticleArteriovenous fistulaChronic renal failureGeneral surgery unitMaintenance haemodialysisSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 2 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arteriovenous fistula Chronic renal failure General surgery unit Maintenance haemodialysis Surgery RD1-811
spellingShingle	Arteriovenous fistula Chronic renal failure General surgery unit Maintenance haemodialysis Surgery RD1-811 Deep Lamichhane Sanjay Paudyal Pukar Maskey Santa Bir Maharjan Arbin Joshi Bimal Pandey Jay Narayan Shah Vijay Kumar Jaiswal Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
description	Introduction: 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
format	article
author	Deep Lamichhane Sanjay Paudyal Pukar Maskey Santa Bir Maharjan Arbin Joshi Bimal Pandey Jay Narayan Shah Vijay Kumar Jaiswal
author_facet	Deep Lamichhane Sanjay Paudyal Pukar Maskey Santa Bir Maharjan Arbin Joshi Bimal Pandey Jay Narayan Shah Vijay Kumar Jaiswal
author_sort	Deep Lamichhane
title	Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
title_short	Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
title_full	Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
title_fullStr	Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
title_full_unstemmed	Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit
title_sort	clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: integrated activity in a general surgery unit
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/722f746a61cb4ac7a996e136fbe580e4
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Clinical profile and early outcome of arteriovenous fistula creation for haemodialysis: Integrated activity in a general surgery unit

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