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AV Fistula for Dialysis

At Saxena Aesthetics, we offer specialized AV fistula surgery for dialysis under the skilled hands of Dr. Bharat Saxena, a Gold Medalist in Plastic and Reconstructive Surgery. Performed at both Nanavati MAX Super-Speciality Hospital and Saxena Aesthetics, Vile Parle, this procedure ensures safe and long-term vascular access for patients requiring regular dialysis. Dr. Saxena’s expertise in microsurgery and reconstructive vascular access makes him one of the best surgeons for AV fistula creation in Mumbai.

What is AV Fistula for Dialysis?

What is AV Fistula for Dialysis?

An Arteriovenous (AV) fistula is a surgical connection between an artery and a vein, typically created in the arm. It provides a durable and efficient access point for hemodialysis treatment in patients with end-stage renal disease. As a permanent dialysis access surgery, an AV fistula is preferred due to its longevity, lower infection risk, and better blood flow during dialysis sessions.

Common Indications

  • Chronic kidney disease requiring long-term dialysis access
  • Failed or exhausted previous vascular access sites requiring new creation
  • Patient planned for hemodialysis in the near future with urgent preparation
  • Preparation for end-stage renal disease management

Techniques Used

  • The procedure is usually done under local or regional anesthesia
  • A small incision is made in the arm to connect an artery and a vein
  • Microsurgical tools and techniques are used to ensure precision
  • Sutures are placed delicately to encourage vein enlargement and maturity

About the Surgery/Treatment

AV Fistula creation is a critical vascular procedure that provides a reliable and sustainable access route for hemodialysis. At Saxena Aesthetics, Dr. Bharat Saxena ensures every patient receives personalized evaluation and precise surgical care.

Treatment Process

  • Initial assessment with ultrasound mapping of vessels
  • Selection of the most suitable site (usually forearm or upper arm)
  • Day-care procedure performed under anesthesia
  • Post-op monitoring and instructions for arm care provided

Benefits of this Surgery

  • Long-term dialysis access with minimal complications
  • Reduced risk of infection compared to catheters
  • Better blood flow leading to efficient dialysis
  • Lower risk of clotting or narrowing of blood vessels

As a leading reconstructive and vascular surgeon in Mumbai, Dr. Bharat Saxena emphasizes minimally invasive techniques, ensuring quicker recovery and lasting outcomes for AV fistula procedures in India.

What to Expect After Surgery

Post-operative care is crucial in ensuring the AV fistula matures correctly and functions optimally. Most patients can return to routine activities within a few days.

Post-Surgery

  • Mild swelling and bruising at the incision site
  • Patients advised to avoid lifting heavy objects with the operated arm
  • Fistula may take 6–8 weeks to mature before use
  • Regular follow-ups and monitoring for any signs of failure

Recovery Milestones

  • Initial healing within 7–10 days post-surgery
  • Fistula thrill (vibration) can be felt clearly after a few days.
  • Vein enlargement visible in 2–4 weeks
  • Full maturity for dialysis in 6–8 weeks with proper care and monitoring.

Follow-Up Care

Consistent follow-up is essential to ensure successful fistula maturation and avoid complications.

Follow-up Schedule

  • First check-up within 1 week post-surgery
  • Follow-up at 3–4 weeks to assess vein growth
  • Doppler ultrasound if fistula thrill is weak
  • Final clearance for dialysis by nephrologist

Follow-Up Care

  • Dressing changes and wound care
  • Non-invasive vascular ultrasound assessments
  • Suture removal and incision inspection
  • Guidance on arm positioning and usage

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    Dr. Bharat Saxena - Your Trusted Plastic Surgeon

    Meet Dr. Bharat Saxena - Your Trusted Plastic Surgeon

    Dr. Bharat Saxena is an experienced and highly qualified plastic surgeon specializing in both cosmetic and reconstructive surgeries. A gold medalist in M.Ch Plastic and Reconstructive Surgery from Sir JJ Group of Hospitals, Mumbai, he brings cutting-edge expertise in onco-surgery, trauma reconstruction, and aesthetic procedures. Dr. Saxena’s work is recognized worldwide, with numerous accolades highlighting his dedication to patient care and surgical excellence. He currently practices at Nanavati Max Super Speciality Hospital, one of Mumbai’s premier medical institutions, and leads his private clinic, Saxena Aesthetics, in Vile Parle—offering personalized, state-of-the-art treatments in a safe and comfortable environment.

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    Dr. Bharat Saxena offers unmatched expertise in both reconstructive and cosmetic surgery, with years of rigorous training and hands-on experience. At Saxena Aesthetics, we provide world-class aesthetic and reconstructive solutions, ensuring a personalized, patient-centric approach for every individual. Whether it's a complex reconstructive surgery or a cosmetic enhancement, our state-of-the-art techniques and compassionate care guarantee the highest quality outcomes.

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    Your Trusted Clinic for Personalized Aesthetic Treatments

    Saxena Aesthetics is a leading plastic surgery clinic based in Vile Parle, Mumbai, dedicated to providing exceptional cosmetic and reconstructive treatments. With a focus on cutting-edge technology, personalized care, and the highest standards of safety, we cater to the unique needs of each patient. Whether you’re seeking aesthetic improvements or reconstructive surgeries, we ensure that you receive the most advanced and effective solutions for your concerns.

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    At Saxena Aesthetics, we pride ourselves on having a highly skilled, compassionate team of professionals. Led by Dr. Bharat Saxena, our multidisciplinary team includes specialists in gynecology, dermatology, and plastic surgery, all working together to provide the best care for every patient. From advanced surgical procedures to non-surgical treatments, our team ensures comprehensive care tailored to each individual's needs.

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    Frequently Asked Questions

    An AV fistula provides a durable and high-flow access site for regular hemodialysis, ensuring safer and more effective treatment for kidney failure patients.

    It usually takes about 6 to 8 weeks for the fistula to mature, allowing veins to enlarge and support repeated dialysis sessions.

    The procedure is done under anesthesia, so patients do not feel pain during the surgery. Mild discomfort may occur post-operatively, which can be managed with medication.

    Dr. Bharat Saxena is widely recognized for his expertise in vascular access surgery, offering advanced care at Nanavati Hospital and Saxena Aesthetics, Mumbai.

    A vibrating sensation (thrill) and a whooshing sound (bruit) indicate proper blood flow. These signs should be checked regularly by your doctor.

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    Trust your dialysis access to expert hands.

    Schedule your AV Fistula for Dialysis consultation with Dr. Bharat Saxena at Nanavati Hospital or Saxena Aesthetics, Vile Parle.

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