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?
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 6β8 weeks to mature before use
- Regular follow-ups and monitoring for any signs of failure
Recovery Milestones
- Initial healing within 7β10 days post-surgery
- Fistula thrill (vibration) can be felt clearly after a few days.
- Vein enlargement visible in 2β4 weeks
- Full maturity for dialysis in 6β8 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 3β4 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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Treatments & Procedures
- Head and Neck Cancer Reconstruction
- Breast Reconstruction after Cancer
- Bone and Soft Tissue Reconstruction
- Skin Cancer Flap Surgery
- Pelvic and Vaginal Reconstruction
- Ortho-Oncology Reconstruction
- Microsurgery for Limb Salvage
- Onco-Trauma Combined Reconstruction
- Advanced Hair Transplant Surgery
- Breast Augmentation Surgery
- Advanced Breast Reduction Surgery
- Mastopexy (Breast Lift)
- Liposuction
- Tummy Tuck
- Gynecomastia
- Rhinoplasty
- Blepharoplasty
- Fat Grafting for Face & Body
- Scar & Tattoo Removal
- Ear Lobe Repair Surgery
- Facial Trauma Reconstruction Surgery
- Heel Reconstruction Surgery
- Lower Limb Trauma with Exposed Bone Reconstruction
- Diabetic Foot Surgery with Flaps and Skin Grafting
- Skin Grafting for Burns
- Burn Contracture Release
- Syndactyly Correction
- Polydactyly Repair
- Hand Fracture Care
- Advanced Tendon Repair Surgery
- Advanced Tendon Transfer Procedures
- Nerve Repair & Reconstruction
- AV Fistula for Dialysis
Pre- & Post-Treatment Precautions
Before Surgery
- Inform the surgeon about any medications or blood thinners
- Do not eat or drink 6 hours before surgery
- Perform prescribed blood and imaging tests
After Surgery
- Keep the arm elevated to reduce swelling
- Avoid compressing or sleeping on the operated arm
- Follow antibiotic and pain medication instructions carefully
Recovery Period
- Resume light activities within a week with proper medical guidance.
- Avoid blood pressure checks or blood draws from fistula arm
- Monitor for pain, redness, or abnormal swelling
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. Saxenaβs 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 Mumbaiβs premier medical institutions, and leads his private clinic, Saxena Aesthetics, in Vile Parleβoffering personalized, state-of-the-art treatments in a safe and comfortable environment.
- Globally Recognized Expertise
- Gold Medalist Surgeon
- Advanced Aesthetic Techniques
- Trusted at Nanavati
- Founder, Saxena Aesthetics
- Onco-Surgery Specialist
- Reconstructive Surgery Mastery
- Patient-Centric Approach
Expertise and Compassion Combined for Exceptional Results
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.
- Award-Winning Surgeon
- Personalized Care
- Advanced Techniques
- Proven Results
- Ethical Practices
- Multidisciplinary Team
- Holistic Approach
- Compassionate Service
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 youβre seeking aesthetic improvements or reconstructive surgeries, we ensure that you receive the most advanced and effective solutions for your concerns.
- Trusted Clinic in Mumbai
- Advanced Aesthetic Solutions
- Personalized Treatments
- Reconstructive Expertise
- Patient-Centered Care
- State-of-the-Art Technology
- Compassionate Approach
- Comprehensive Services
Meet the Experts Behind Your Transformation
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.
- Experienced Specialists
- Multidisciplinary Team
- Personalized Treatment Plans
- Advanced Aesthetic Solutions
- Compassionate Professionals
- Holistic Patient Care
- Leading Experts in the Field
- Commitment to Excellence
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.
Testimonial
Feedback From Our Happy Patients
Posted on Google Simran singhTrustindex verifies that the original source of the review is Google. We are extremely grateful to Dr. Bharat Saxena for successfully performing a complex surgery on my fatherβs right hand after his thumb was separated in an lift accident. His skill and precision made the surgery a great success, and weβre truly thankful for the care he provided. Special thanks also to Dr. Mayur Shah, who was incredibly supportive throughout from the initial consultation to ensuring the operation theatre was ready without delay. His coordination and attention made a stressful situation much easier for our family. Weβre also thankful to the entire team at Nanavati Hospital for their support during this critical time. Highly recommend Dr. Saxena and Dr. Shah for their expertise and genuine care for patients.Posted on Google Therealalokpandey ActorTrustindex verifies that the original source of the review is Google. I feel truly fortunate to have met doctors like Dr. Bharat Saxena Sir and his incredible team. They took exceptional care of my brother, stood by us during one of the most difficult phases of our lives, and gave us the strength and hope we needed. I will always be grateful for their compassion, dedication, and humanity. Sujit Kumar Pandey Advance stage mouth cancer Plastic surgeryPosted on Google therenewedmomTrustindex verifies that the original source of the review is Google. While traveling in Mumbai, our toddler fell on the stairs and suffered a deep lip cut. We were fortunate to be treated by Dr. Saxena at Nanavati Hospital, and the care we received was exceptional. From our first conversation through the procedure and follow-up, Dr. Saxena was compassionate, professional, and reassuring. He provided clear instructions, made the admission process smooth, and took the time to answer all of our questions without ever making us feel rushed. His entire team was warm and welcoming, helping us feel at ease during a stressful situation. Most importantly, our son was treated with genuine kindness and care. The procedure went smoothly, his recovery was excellent, and Dr. Saxena even followed up afterward to check on him. We are incredibly grateful for the outstanding care and would highly recommend Dr. Saxena to anyone seeking a skilled and compassionate doctor.Posted on Google seemant meenaTrustindex verifies that the original source of the review is Google. Dear Dr. Bharat Saxena Sir, I am writing to express my sincere gratitude for your exceptional care during my recent surgery. I truly appreciate your expertise, patience, and the time you took to thoroughly explain the procedure. I am already feeling much better and am highly confident in my continued recovery under your guidance. Thankyou so much sir πPosted on Google Sandeep KuttyTrustindex verifies that the original source of the review is Google. Dr. Bharat Saxena, Plastic & Reconstructive Surgeon, presently Nanavati Hospital, Mumbai, did an excellent job with great skill and professionalism. What stands out equally is his friendly, approachable, and caring nature. Meeting him never felt like visiting a doctor, but rather a trusted friend who genuinely cares. His encouragement and positive attitude inspire confidence and make the healing journey much easier. Thank you for your outstanding care and support. Highly recommended. Anyone in such need should definitely approach Dr. Bharat Saxena once.Posted on Google Aman agrawalTrustindex verifies that the original source of the review is Google. I had a very good experience with Dr. Bharat. The doctor explained the procedure clearly, post procedure results with honesty, answered all my questions patiently, and made me feel comfortable throughout the process. The surgery went smoothly, and I really appreciated the doctor's knowledge, care, and support.Posted on Google Jogendra Nath KunduTrustindex verifies that the original source of the review is Google. We had an incredible experience with Dr. Bharat Saxena. My mother was dealing with a highly complex, recurrent post-APR perineal hernia (severe pelvic floor deformation) following her rectal cancer surgery. After a previous hernia surgery failed in Delhi, we were very anxious. I initially reached out to Dr. Saxena with her case, and he was super supportive right from the start. His quick and reassuring responses gave us the confidence to arrange my parents' travel from Odisha to Mumbai. During the consultation, he clearly explained the entire process and did not hesitate to perform the right, complex reconstructive surgery (a VRAM with a VY Gluteal flap), which is shown to have good success for this rare condition. As a plastic surgeon, his expertise in pelvic floor reconstruction is unmatched. Beyond his brilliant surgical skills, he is super approachable, incredibly supportive, and provides absolutely great post-surgery care. Thank you so much, Dr. Saxena, for taking on this complex case and giving our family peace of mind!Posted on Google Vineet UpadhyayTrustindex verifies that the original source of the review is Google. We are extremely grateful to Dr. Bharat Saxena and his wonderful team at Nanavati Hospital for the excellent care provided to our 9-year-old son after his lip injury. The entire experience, from consultation to surgery, was handled with great professionalism, compassion, and reassurance. A special thanks to anaesthetic specialist Dr. Bhatti, whose calm and caring approach made us feel confident and comfortable throughout the procedure. The suture surgery was performed smoothly and with great precision, and the care shown towards our child and family meant a lot to us. Thank you so much.Posted on Google Kashish SinghTrustindex verifies that the original source of the review is Google. I recently had an accident that resulted in internal and external injuries, requiring stitches and surgery. Dr. Bharat Saxena managed the operation with incredible skill and care. I'm now completely fine, and I can't thank him enough for his excellent work. His expertise and the way he handled everything were truly outstanding.Posted on Google shalaka DalayaTrustindex verifies that the original source of the review is Google. I had a jaw fracture and went to Nanavati Hospital, where Dr. Bharat was my surgeon. He was so patient and understanding with me throughout the entire process. From consultation to surgery, everything went smoothly and I always felt safe in his hands. He didn't just fix my jaw, he truly helped me get my life and confidence back. I'm incredibly grateful.
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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Visit either Nanavati MAX Super-Speciality Hospital or Saxena Aesthetics, Vile Parle for expert care by Dr. Bharat SaxenaβBest Plastic Surgeon in Mumbai for transformative, trusted, and personalized results.
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Meet Dr. Bharat SaxenaβRenowned, Experienced, Trusted M.Ch Gold Medalist Plastic Surgeon Mumbai, trusted for ethical, holistic care in cosmetic and reconstructive surgery in Mumbai.