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BRANDY
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« on: February 01, 2009, 12:30:03 PM »

What is involved in a fistula being put in? Do you get mapped and fistula in surgery . Or are they done  seperately , diffrent days . How long does it take .?







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« Last Edit: February 02, 2009, 02:12:32 AM by bajanne2000 » Logged

Adapt and Overcome
 
Diabetic 1973
2000-clavical surgery
2000-rotor cuff surgery
2001- cervical surgery
2002 cervical surgery
2003 - cervical surgery
2004- lumbar surgery
2004 hysterectomy
2009-fistula placed
  Im diabetic with neuropathy, ckd ,bad back bad neck
monrein
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« Reply #1 on: February 01, 2009, 12:36:05 PM »

Mapping is done in advance of surgery and is not painful at all.  Fistula surgery is scheduled based on the results of the mapping and is an out patient procedure done under local anesthetic and mild sedation. 
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
thegrammalady
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« Reply #2 on: February 01, 2009, 12:39:29 PM »

mapping is done by untrasound
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Pam
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« Reply #3 on: February 02, 2009, 05:58:47 AM »

My fistula is now about 6 wks old. I had to be at the hospital at 6am and ws home by 2pm. I do have to have another surgery because the veins is too deep. My vein mapping was done at the hospital and took about 45min. The Dr will do another sonogram in his office on the 11th.  I did not have to take any pain pills. The only thing I complained about was that since the fistulas was placed rigth at my elbow the bandage rubbed every time I bent my arm. That drove me crazy. Right now the place of surgery is just a very faint scratch. Good luck with having yours placd.   
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MandaMe1986
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« Reply #4 on: February 02, 2009, 07:18:11 AM »

They told my father that he was going to need to stay in the hospital for 2 days after they put it in.
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Blessed are the poor in spirit, for theres is the kingdom of heaven.
Blessed are they who mourn, for they will be comforted.
Blessed are the meek, for they will inherit the land.
Blessed are they whohunger and thirst for righteousness, for theywill be satisfied.
Blessed are the merciful, for they will be shown mercy.
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« Reply #5 on: February 02, 2009, 09:58:23 AM »

They told my father that he was going to need to stay in the hospital for 2 days after they put it in.


Sounds like someone is looking to make money, unless your Dad has tons of medical issues that put him at very high risk of clotting or something.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
BRANDY
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« Reply #6 on: February 02, 2009, 03:50:21 PM »

OK my mapping is done. Tomorrow is the day I meet with surgeon. Thanks for your replys.
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Adapt and Overcome
 
Diabetic 1973
2000-clavical surgery
2000-rotor cuff surgery
2001- cervical surgery
2002 cervical surgery
2003 - cervical surgery
2004- lumbar surgery
2004 hysterectomy
2009-fistula placed
  Im diabetic with neuropathy, ckd ,bad back bad neck
paddbear0000
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« Reply #7 on: February 02, 2009, 04:33:06 PM »

Good luck with the surgeon tomorrow. There is nothing to worry about. I met with mine last week. All he did was go over my options as to where he could put the fistula based on the vein mapping. The surgeon will let you know if your veins are too small for a fistula in your arms, whether you'll have to get it in the leg (rare), if you'll need a graft or a catheter instead. I was told my veins are very small, but he would give it a try anyway. He let me decide where I would like it to be, then described what he would do. Basically, all they will do for the surgery is take a tiny 2-3mm slice of the vein and artery walls off, then attach the two at the new openings, stitch it up, and close up the incision in your arm. Some people need to have a second surgery to bring the fistula closer to the surface, some don't and some will have it done at the same time as the fistula creation. My first fistula surgery is this Friday, so we're pretty much on the same path.
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« Reply #8 on: February 02, 2009, 04:45:56 PM »

Jenna's first fistula didn't work (upper arm.) The surgeon wanted to switch and try the other arm, but luckily we found another vascular surgeon who reworked the first one. I mention this only because it does occasionally happen. The 2nd fistula worked great for 3 years, it quit on the day of her transplant.
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
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Found a swap living donor using social media, friends, family.
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MandaMe1986
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« Reply #9 on: February 02, 2009, 07:01:44 PM »

They told my father that he was going to need to stay in the hospital for 2 days after they put it in.

I am not to sure what the reason is. I need to make sure I check into i t.
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Blessed are the poor in spirit, for theres is the kingdom of heaven.
Blessed are they who mourn, for they will be comforted.
Blessed are the meek, for they will inherit the land.
Blessed are they whohunger and thirst for righteousness, for theywill be satisfied.
Blessed are the merciful, for they will be shown mercy.
Blessed are the clean of heart, for they will see God.
Blessed are the peacemakers, for they will be called children of God.

Matthew 5:3-9
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