rr's thread poses me this question

[sullidog]

why is fistula creation outpatient and graft surgery inpatient? I hear it's because graft's are tunneled, but I mean I've had no problems when I've had a graft put in that would require me to stay, I leave the next day feeling the same when I had the surgery, hmmm...

[lmunchkin]

I may be wrong on this Sully, so don't quote me.  I think the reason is a graft surgery requires a foreign object inserted under your skin.  They probably keep you over night for observation.  Your body recognizes that something is foreign in the body and may want to attack it, therefore, they want to provide the proper medicine to stop that.  A graft is somewhat similar to a PD Catheter, in some respects, in that the body see's it as a foreign object.  Thus susseptable (?) to infections too.  They may want to just observe you so that this does not happen.

Whereas a fistula is your natural veins being tied together.  Nothing artificial is inserted, it is your body's natural veins!

Like I say, dear, I could be wrong on this, but I bet that Iam close!!!!!    lol

God Bless,
lmunchkin

[sullidog]

good answer! I bet you're right

[jbeany]

Ummm - but my graft surgeries were all outpatient.  So it's apparently just your doc's policy, not a universal standard.

[lmunchkin]

It may just be like you say, jbeany, depends on the doc.  I know when J. had his PD cath put in, they kept him overnight.  He also has trouble with infections due to his diabeties.  I agree, it depends on the doctor and probably is not a given. But the reasons to keep someone over night with graft vs fistula, IMHO, would be the foreign object vs natural.

God Bless,
lmunchkin
 

[Lillupie]

Probably your doctors. Im going to argue Imunchkin's response, because the PD cathater is a foreign object, I do agree with, but since starting dialysis the one surgery that did not require me an overnight stay was getting the PD catheter inserted. That wasnt overnight.

Lisa

[lmunchkin]

Oh Lisa, no one is arguing here.  The question Sully posed is why would they keep someone overnight for a graft surgery and not the fistula.  I answered that possibly because of the foreign object vs the natural veins.  You may not have had to be in over night when they put your PD catheter in, but My husband was kept over night when he had his. I never questioned it, in fact, I felt savier them keeping him overnight.  I do however feel, looking back, that they were concerned about infections with him. He is susiptable to infections.  He has lost some limbs due to infections, so I don't think it was by accident, they kept him overnight!  And I did not say that it was the law and mandatory either, I was trying to explain the whys to Sullys question, with out reference or data or proof.

Im not here to argue dear, with anyone., Im just trying to shed light! Sorry if I came across like that.

God Bless,
lmunchkin
 

[Lillupie]

Oh Lisa, no one is arguing here.  The question Sully posed is why would they keep someone overnight for a graft surgery and not the fistula.  I answered that possibly because of the foreign object vs the natural veins.  You may not have had to be in over night when they put your PD catheter in, but My husband was kept over night when he had his. I never questioned it, in fact, I felt savier them keeping him overnight.  I do however feel, looking back, that they were concerned about infections with him. He is susiptable to infections.  He has lost some limbs due to infections, so I don't think it was by accident, they kept him overnight!  And I did not say that it was the law and mandatory either, I was trying to explain the whys to Sullys question, with out reference or data or proof.

Im not here to argue dear, with anyone., Im just trying to shed light! Sorry if I came across like that.

God Bless,
lmunchkin
 

oh Im so sorry sweetness. I should not of said it that way. Just with me and my hernia surgeries, the PD cath was the only one I had that did not require an overnight stay.

Lisa

[lmunchkin]

Its okay! Sometimes I dont come across very well either. I just think that they (medical establishment) may sometimes have a good reason to keep some overnight, because of some other medical issues.  I know that is true with J. I was just trying to ease Sully's mind about the why it was that way.

Still love you Lisa!!! That shall always be.

God Bless,
lmunchkin