Preparing for AV Fistula Surgery: What Every Dialysis Patient Should Know

For many patients with chronic kidney failure, hemodialysis becomes a long-term part of life. To make this treatment effective and safe, doctors recommend creating an arteriovenous fistula (AV fistula). While the procedure itself is simple, the right preparation and care can make all the difference in its success.

Why is an AV Fistula Important?

An AV fistula connects an artery and a vein, usually in the forearm, allowing blood to flow quickly and easily during dialysis. It is considered the most reliable and durable access for hemodialysis, with fewer complications compared to catheters or synthetic grafts.

Preparing Before Surgery

To ensure your fistula develops well, here are a few key steps:

• Preserve one arm (usually the left): Avoid injections, IV lines, or blood pressure checks on that side.

• Do hand exercises: Squeezing a sponge ball daily helps enlarge the veins, making them stronger for surgery.

• Pre-surgical scan: Your surgeon may advise an ultrasound to check the size of your arteries and veins before deciding on the procedure.

How the Surgery is Done

• The procedure is performed under local anesthesia, making it safe and minimally invasive.

• It usually takes less than an hour and is often done as a day-care procedure.

• Once completed, the fistula is allowed to mature for 6–8 weeks before being used for dialysis.

Post-Surgery Care

• Keep the surgical site clean and dry.

• Do not lift heavy objects with the operated arm.

• Continue hand exercises to support fistula maturation.

• Watch for swelling, pain, or redness, and report to your doctor immediately if these occur.

Risks to Be Aware Of

While the surgery is generally safe, possible risks include:

• Bleeding or bruising at the site.

• Swelling or discomfort in the arm.

• Rarely, the fistula may fail to mature, requiring further evaluation.

With expert surgical technique and proper aftercare, these risks are significantly reduced.

Who Should You Consult?

An AV fistula should always be created by a qualified Plastic & Reconstructive Surgeon in coordination with your Nephrologist. Dr. Swaminathan Ravi specializes in AV fistula creation, ensuring patients get the best long-term results for their dialysis needs.

✨ In summary: Preparing well, choosing the right surgeon, and taking care after surgery will help ensure your AV fistula lasts for years and makes dialysis smoother and safer.

📍 Consult Dr. Swaminathan Ravi
Aetheris Plastic Surgery, Kharadi, Pune
📞 Phone: 95294 90494
📧 Email: puneplasticsurgery@gmail.com