FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION

Objective: To introduce a new technique of fascial slings created from fascia over biceps muscle as an adjunct to Brachiobasilic fistula elevation contributing in the ease of cannulation and position of arm for both nursing staff and the patient. Study Design: Retrospective study. Place and Dura...

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Autores principales:	Hafiz Khalid Pervaiz Butt, Nauman Imtiaz Khan, Omer Bin Abdul Aziz, Fazl-e- Haider, Afzal Siddique, Rai Ahmad Khan, Kishwar Ali, Mubashar Ahmed Bajwa
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	basilic vein transposition (bvt) hemodialysis (hd) Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7ca0a5ae2eb040908befa76a24aec4f6
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spelling	oai:doaj.org-article:7ca0a5ae2eb040908befa76a24aec4f62021-12-03T02:53:07ZFASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION0030-96482411-8842https://doaj.org/article/7ca0a5ae2eb040908befa76a24aec4f62018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2335/2026https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To introduce a new technique of fascial slings created from fascia over biceps muscle as an adjunct to Brachiobasilic fistula elevation contributing in the ease of cannulation and position of arm for both nursing staff and the patient. Study Design: Retrospective study. Place and Duration of Study: This study was carried out in Combined Military Hospital Rawalpindi, form Jan 2016 to Apr 2017. Patients and Methods: The demographic and outcome data of the patients, who underwent Brachiobasilic Elevation using fascial slings, were collected and analyzed retrospectively. Results: A total of 89 (60 males, mean age 44.2 ± 14 years and 29 females mean age 42.6 ± 12 years) patients underwent brachiobasilic fistula elevation. The distance of fistula vein from skin incision at mid arm was found to be consistent from the per op measurement till the last assessment at 6 months. In our study it was 5 ± 0.7 cm. Slinged vein was found to be easy to cannulate in first prick as per dialysis nursing staff. Fistula maturation rate was 91%. A total of eight (9%) fistulae were never put on dialysis because of thrombosis. The mean maturation time was 40 ± 14 days. Fifteen (16%) patients had arm edema, and twelve (13%) had infections. Patients had similar ease of arm position as of brachiocephalic AVF during dialysis. Conclusion: Considering the consistent post op distance of fistula vein from scar site, ease of cannulation for the dialysis staff and comfort of arm position for the patient during dialysis after fascial slings it is concluded that fascial slings are good adjunct to basilic vein elevation technique.Hafiz Khalid Pervaiz ButtNauman Imtiaz KhanOmer Bin Abdul AzizFazl-e- HaiderAfzal SiddiqueRai Ahmad KhanKishwar AliMubashar Ahmed BajwaArmy Medical College Rawalpindiarticlebasilic vein transposition (bvt)hemodialysis (hd)MedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1419-1423 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	basilic vein transposition (bvt) hemodialysis (hd) Medicine R Medicine (General) R5-920
spellingShingle	basilic vein transposition (bvt) hemodialysis (hd) Medicine R Medicine (General) R5-920 Hafiz Khalid Pervaiz Butt Nauman Imtiaz Khan Omer Bin Abdul Aziz Fazl-e- Haider Afzal Siddique Rai Ahmad Khan Kishwar Ali Mubashar Ahmed Bajwa FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
description	Objective: To introduce a new technique of fascial slings created from fascia over biceps muscle as an adjunct to Brachiobasilic fistula elevation contributing in the ease of cannulation and position of arm for both nursing staff and the patient. Study Design: Retrospective study. Place and Duration of Study: This study was carried out in Combined Military Hospital Rawalpindi, form Jan 2016 to Apr 2017. Patients and Methods: The demographic and outcome data of the patients, who underwent Brachiobasilic Elevation using fascial slings, were collected and analyzed retrospectively. Results: A total of 89 (60 males, mean age 44.2 ± 14 years and 29 females mean age 42.6 ± 12 years) patients underwent brachiobasilic fistula elevation. The distance of fistula vein from skin incision at mid arm was found to be consistent from the per op measurement till the last assessment at 6 months. In our study it was 5 ± 0.7 cm. Slinged vein was found to be easy to cannulate in first prick as per dialysis nursing staff. Fistula maturation rate was 91%. A total of eight (9%) fistulae were never put on dialysis because of thrombosis. The mean maturation time was 40 ± 14 days. Fifteen (16%) patients had arm edema, and twelve (13%) had infections. Patients had similar ease of arm position as of brachiocephalic AVF during dialysis. Conclusion: Considering the consistent post op distance of fistula vein from scar site, ease of cannulation for the dialysis staff and comfort of arm position for the patient during dialysis after fascial slings it is concluded that fascial slings are good adjunct to basilic vein elevation technique.
format	article
author	Hafiz Khalid Pervaiz Butt Nauman Imtiaz Khan Omer Bin Abdul Aziz Fazl-e- Haider Afzal Siddique Rai Ahmad Khan Kishwar Ali Mubashar Ahmed Bajwa
author_facet	Hafiz Khalid Pervaiz Butt Nauman Imtiaz Khan Omer Bin Abdul Aziz Fazl-e- Haider Afzal Siddique Rai Ahmad Khan Kishwar Ali Mubashar Ahmed Bajwa
author_sort	Hafiz Khalid Pervaiz Butt
title	FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
title_short	FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
title_full	FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
title_fullStr	FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
title_full_unstemmed	FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION
title_sort	fascial slings: a new adjunct to brachiobasilic fistula elevation
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/7ca0a5ae2eb040908befa76a24aec4f6
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FASCIAL SLINGS: A NEW ADJUNCT TO BRACHIOBASILIC FISTULA ELEVATION

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