AV Fistula Surgery for Dialysis - Procedure, Cost, Recovery
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Dialysis is an essential treatment for those who are suffering from kidney-related problems. However, before one can begin with this vital treatment, installing an access point for the filtration machine becomes essential. AV fistula surgery is done before the dialysis process under the supervision of a vascular surgeon.
This article intends to develop a clear and precise understanding of the specifics of dialysis fistula surgery. This includes the treatment itself, related expenses, the anticipated recovery time, and the many other essential aspects of this effective treatment and its procedure.
AV Fistula Surgery
Dialysis Fistula Surgery
Chronic kidney disease, Kidney failure, Acute kidney injury
Benefits of the Surgery
Lower infection risk, Improved dialysis efficiency, Cost-effective
Vascular Surgeon, Nephrologist or Urologist
You can check AV Fistula Surgery Cost here.
Book Appointment for AV Fistula Surgery
What is AV Fistula Surgery?
An arteriovenous (AV) fistula surgery is a surgical procedure that creates a connection between an artery and a vein in the body, typically in the forearm or upper arm.
This connection allows for better and more reliable access to the blood vessels needed for haemodialysis, where a dialysis machine filters the patient's blood to remove waste and excess fluids from the body.
AV fistula is the gold standard for vascular access in haemodialysis patients due to its high long-term success rate, low risk of infection and clotting, and better blood flow. The AV fistula needs typically a few weeks to a few months to fully develop before it can be utilised for haemodialysis.
Anatomy and Physiology Blood Vessels
The circulatory system of the human body comprises a complex web of blood vessels that move blood around the body, bringing in vital nutrients and oxygen and eliminating waste products. To understand how blood flows throughout the body, it is essential to understand the anatomy and physiology of blood vessels.
Arteries are blood arteries with solid walls that transport oxygenated blood from the heart to other organs and tissues.
They have solid and elastic walls that can endure the intense pressure brought on by the heart's pumping motion.
Arteries are essential for regulating blood pressure and ensuring all body tissues receive a steady supply of oxygen and nutrients.
Capillaries are the smallest and most numerous blood vessels in the body.
They have thin, permeable walls that allow for the exchange of gases, nutrients, and waste products between the blood and surrounding tissues.
Capillaries facilitate the vital process of oxygen and nutrient delivery to cells while collecting waste products for elimination.
The extensive network of capillaries ensures that every cell in the body receives the essential components it needs for survival.
Veins are blood vessels that carry deoxygenated blood back to the heart from the body's tissues.
Unlike arteries, veins have thinner and less elastic walls and work against gravity to return blood to the heart.
To assist in this process, veins contain one-way valves that prevent the backward flow of blood.
As veins converge towards the heart, they gradually increase in size until they merge into the superior and inferior vena cava, which return deoxygenated blood to the heart's right atrium.
Who Needs Dialysis Fistula Surgery?
Dialysis fistula surgery is typically recommended for individuals who require long-term haemodialysis. The decision to undergo dialysis fistula surgery is typically made by a nephrologist or a kidney specialist based on various factors and the patient's medical condition.
The suitable candidates for this procedure include:
Dialysis Access Failure Patients: Candidates for AV fistula surgery may include people with problems or failure with prior dialysis access techniques, such as grafts or catheters. It provides a haemodialysis access point that is more dependable and long-lasting.
How is Dialysis Fistula Surgery Performed?
AV fistula surgery is generally performed on an outpatient basis. The procedure is conducted under local anaesthesia, which numbs the arm while the patient remains awake. However, for certain patients, the procedure can also be performed under general anaesthesia. This procedure generally last for about 15 to 30 minutes.
The AV Fitsula surgery for dialysis procedure includes the following steps:
The patient’s non-dominant arm is often used to construct the fistula during surgery.
The healthcare provider will then provide local or general anaesthesia to the patient to keep the patient comfortable.
The vitals of the patients are measured and monitored throughout the procedure.
Once the patient is stable after providing the anaesthesia, the surgeon makes a small incision in the arm to access the artery and vein.
The surgeon carefully dissects the artery and connects it to the vein with direct anastomosis, creating the AV fistula. This connection allows arterial blood to flow directly into the vein, increasing its diameter and strengthening its walls over time.
Once the doctor has successfully made the connection, the surgeon closes the incision.
After the fistula is created, the surgeon ensures that it has good blood flow and checks for any leaks. The AV fistula needs time to mature and strengthen, usually taking a few weeks to a few months.
What to Expect Before and On the Day of Dialysis Fistula Surgery?
The well-established and secure AV fistula surgery process is essential to improving the standard of living for individuals who require dialysis treatments. The medical staff will guide patients through the procedure and address any worries and questions of patients.
Before Dialysis Fistula Surgery
Before a fistula operation for dialysis, patients should always adhere to their doctor's directions. The surgical team will take a number of actions both before and during the surgery on the scheduled day.
Preoperative Evaluation: The patient will undergo a full assessment by the medical staff, which may involve a physical examination, a review of their medical history, and several tests to determine how well their arms' veins and arteries are functioning. This evaluation determines the best place to create the fistula.
Dietary recommendations: The doctor may advise fasting or refraining from food and liquids for 8 hours before the surgery.
Medical Consultation: A nephrologist or vascular surgeon will explain the treatment, potential risks and benefits and also answer the queries or concerns that the patient may have.
Medication Adjustments: The medical professional can change the patient's medication schedule if they are taking anything that might conflict with the surgery or anaesthesia. All medications, including prescription orders, over-the-counter medications, and dietary supplements, should be disclosed to the medical team.
On the Day of Dialysis Fistula Surgery
One can expect the following on the day of the dialysis fistula surgery.
Arrival at the Hospital: The patient will be given instructions for when to show up at the surgery centre or hospital. Making travel arrangements to and from the facility is advised because driving may not be permitted following the operation.
Consent and Briefing: Before beginning the procedure, the medical team—including the surgeon and anaesthesiologist—will give the patient a briefing on the specifics of the process, resolve any remaining concerns, and get their informed consent.
Preoperative Preparations: The patient will be shown to a preoperative area where they can change into hospital gowns. An IV line will also be placed to deliver fluids and medications to the patient.
Monitoring and Preparation: The patient's vital indicators, such as heart rate, blood pressure, and oxygen saturation, will be watched closely throughout the procedure. The surgical staff will set up the required tools and supplies for the procedure.
To guarantee a successful and painless procedure, it is essential for the patient to strictly adhere to all preoperative instructions given by the medical staff. Depending on each particular instance and the protocols followed by the medical facility, these recommendations may change. To prevent confusion or worry on the day of the surgery, it is advisable to discuss any uncertainties or questions with the healthcare professional in advance.
What to Expect After Dialysis Fistula Surgery?
The following things can be expected after the AV fistula surgery:
The Recovery Process at the Hospital
The patients will be provided with essential instructions after AV fistula surgery. However, one can expect the following after getting the surgery done:
After the AV fistula surgery, it is normal for one to experience pain, swelling and a buzzing sensation in a specific area. However, this can be controlled and managed with the help of painkillers prescribed by the doctor.
It is normal for one to see blood on the dressing. However, if there is excessive bleeding or yellow leakage from the wound, one must consult their healthcare provider.
Once the patient is comfortable, he/she will be asked to go home.
The patient will also be advised to take certain precautionary measures for the betterment of the AV fistula and also for better recovery of the patient.
The patients will also be provided with painkillers and other relevant medications before he/she is asked to go home.
Recovery Process/Expectation after Hospital Discharge
The recovery time after the surgery is a short one as the patients can resume regular work from the next day. To ensure the right recovery and reduce the chance of problems, the patient must adhere carefully to the postoperative guidance given by their healthcare team.
Each patient's recovery period may be different, so it's critical to keep the lines of communication with the physician open throughout the healing process. The recovery process must consider the following points:
Hydration: Drink enough fluids to stay well hydrated, which helps with fistula development.
Dialysis Fluid Removal: If the patient is already on dialysis, the nurses will avoid removing excessive fluid from their body to support fistula development.
Avoid Compressing Fistula: Do not carry bag straps or any tight bands over the arm with the fistula to prevent compression.
Alert Medical Staff: If one notices the "buzz" sensation in the fistula disappearing, one must notify the dialysis nurse or doctor immediately, as there are rescue procedures to restore flow.
Monitor Fistula Site: Watch for signs of infection, such as redness, heat, or swelling at the fistula site, and promptly consult the doctor if any of these symptoms appear.
Notify the Doctor for Blood Flow Issues: If a patient experiences a cooler hand temperature or "pins and needles" sensation, they should inform their doctor, as it might indicate excessive blood flow diversion to the fistula.
Elevate Arm: In the days after the operation, elevate the arm while at home and avoid lifting heavy bags or weights to promote healing.
Restrict Heavy Exercise: Avoid heavy sports and exercise for the first three weeks after the operation. However, patients should be able to drive a week after the surgery.
Full Arm Use After Healing: Once the wound is fully healed and the fistula is functioning well, there are no restrictions, and the patient can use their arm normally.
Common Complication: The most common complication is the fistula not maturing properly.
Potential Failure: Around 30% of fistulas may not work within the first 24 hours, clot off, or fail to develop suitably for dialysis use.
Potential Second Operation: If the fistula does not mature, a second operation or additional procedure may be required to re-establish flow.
First Follow-up Appointment
The first follow-up appointment after av fistula surgery generally is kept within a few weeks. This appointment allows the surgeon to assess the maturation and healing of the AV fistula. The surgeon also evaluates
The healing process of the incision site and providing care if any complications have developed.
The blood flow in the fistula by ultrasound or Doppler study.
The first follow-up appointment also provides an opportunity for the surgeon to educate the patient and their caregivers about proper fistula care, including how to monitor and protect the AV fistula, and when to seek medical attention if any concerns arise.
Benefits of Dialysis Fistula Surgery
Dialysis fistula surgery offers several benefits for patients with end-stage renal disease (ESRD) who require hemodialysis. The suitability and possible benefits of AV fistula surgery for each patient must be determined after a thorough assessment by a healthcare professional. Some of the critical benefits of dialysis fistula surgery include:
Lower Infection Risk: Compared to catheters and grafts, fistulas have a decreased infection risk. Serious problems, including sepsis, can result from infections at the access site.Fistulas minimize the use of external devices or tubes, lowering the risk of infections. They do this by creating a direct connection between an artery and a vein.
Improved Dialysis Efficiency: Fistulas allow for higher blood flow rates during hemodialysis, which boosts the effectiveness of the dialysis procedure. Effective elimination of waste materials and extra fluid from the bloodstream is made possible by the direct connection between the artery and vein in a fistula, which encourages high-volume blood flow.
Cost-Effectiveness: Compared to other types of dialysis access, fistulas are more economical in the long run. Fistulas require fewer interventions and replacements because they are less likely to develop problems or infections, lowering healthcare costs.
Better Quality of Life: Patients with ESRD can have much better lives after a successful dialysis fistula operation. A stronger sense of well-being and better general health may be facilitated by the decreased risk of infections, enhanced dialysis effectiveness, and increased freedom.
Risks and Complications of Dialysis Fistula Surgery
Dialysis fistula surgery has risks and possible side effects, just like any other surgical operation. People must be informed of these risks and discuss them with their doctor before having surgery.
The following are some concerns and issues that can arise after surgery to repair a dialysis fistula:
Infection: An infection at the surgical site is possible. Proper wound care and hygiene are crucial to reduce the chance of infection.Redness, swelling, heightened discomfort, or a discharge from the incision site are all indications of infection.
Bleeding: Bleeding is a possible risk both during and after surgery. The medical staff will take measures to reduce bleeding, and any severe bleeding will be immediately dealt with.Patients should inform their healthcare physician if they experience any unusual bleeding for an extended period.
Damage to Nerves or Surrounding Tissues: There is a slight possibility that the surgery could cause damage to nerves or nearby tissues.Numbness, tingling, or lack of sensation in the hand or arm may arise from this. Rarely, it might necessitate additional medical attention or rehabilitation.
When is Consultation with the Doctor Needed?
Open communication with healthcare providers is essential to ensure AV fistula surgery's success. One must immediately consult their doctor when they experience the following problems:
Lack of buzzing sensation
Increase in pain or swelling
Excessive bleeding from the wound or yellow discharge
Regular follow-up checkups to ensure the proper functioning of the fistula
Risks of Delayed Dialysis Fistula Surgery
Understanding the potential risks of postponing the surgery is essential, as is taking the necessary precautions to prevent any adverse outcomes. Delaying AV fistula surgery comes with considerable dangers, some of which are as follows:
Catheter-Related Complications: If the fistula surgery is postponed, interim dialysis access techniques, such as catheters, may be required.
Compared to healthy fistulas, catheters have a higher risk of infection, clotting, and other problems. The risk of diseases, including bloodstream infections, which can be severe and call for hospitalisation, can increase with frequent catheter use.
Limited Dialysis Options: Fistulas offer dependable and effective long-term vascular access, making haemodialysis possible.Patients who lack a healthy fistula may be forced to use alternate access techniques such as catheters or grafts, which have a higher risk of complications and less effective dialysis.
Increased Healthcare Costs: Delaying the formation of a fistula may eventually result in higher healthcare costs. Additional medical expenses may be incurred due to infections, catheter-related problems, and the need for repeated interventions when using temporary access techniques.
Long Transplant Wait: A working dialysis access is essential while the patient waits for a kidney transplant. Delaying the fistula surgery might extend the period of time without acceptable vascular access, which may affect the patient's eligibility for transplantation or cause delays in the transplantation process.
Cost of Dialysis Fistula Surgery
The cost of AV fistula surgery is between ₹ 10,000 to ₹ 15,000. The dialysis fistula surgery cost in India can vary based on several variables, including the patient's location, the hospital where the surgery will be performed, the surgeon's experience, the type of anaesthesia used, and any other tests or procedures that may be necessary. The following cost projections should be understood to be general ranges and subject to considerable variation:
Surgical Procedure: In India, AV Fistula surgery typically costs between ₹ 10,000 to ₹ 15,000. The actual price may differ from this range based on several variables, such as the intricacy of the treatment, diagnostic tests, hospital-related costs, risks, and complications, among others.
Vascular Surgeon Consultation Fee: Indian vascular surgeons typically charge between ₹ 1,000 and ₹ 2,000 for each consultation. However, the cost of a consultation can vary based on the doctor's training and area of expertise.
Hospital Stay: Dialysis fistula surgery is typically performed as an outpatient procedure. This means the patient is released from the hospital on the same day. However, extra costs for hospital room fees, nursing care, and other related services may be incurred if an overnight stay is necessary for medical reasons or problems.
Medicine and Follow-Up Visits: Patients may need medicines to control pain, stop infections, or speed healing following surgery. These drugs may cost different amounts. Subsequent costs could apply for any subsequent follow-up appointments with the surgeon or medical staff needed to check on the healing wound and gauge the fistula's development.
Dialysis Fistula Surgery (AV Fistula Surgery)
₹ 10,000 to ₹ 15,000
AV fistula surgery is a short and complication-free surgery that is a must for those seeking dialysis. One must attain a clear and detailed understanding of this procedure to avoid complications and a 100% success rate.
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FAQs for AV Fistula Surgery
What is AV fistula surgery?
Arteriovenous fistula surgery, commonly known as AV fistula surgery, is a procedure used to join an artery and a vein to provide access to haemodialysis.
With the help of this surgery, the entire process of dialysis, where blood enters the machine, gets cleansed and is back into the body post-filtration, becomes an efficient one.
When is dialysis fistula surgery indicated?
For kidney failure patients who need long-term hemodialysis, dialysis fistula surgery is advised. It is usually suggested when haemodialysis is required to maintain the patient's health and quality of life since their kidney function has declined to that point.
How is the fistula in my arm for dialysis prepared?
Your arm's veins and arteries will be carefully examined by the medical team prior to the fistula surgery to determine the fistula in the arm for dialysis. To assess the size, position, and health of the blood vessels, a physical examination, ultrasound imaging, and other testing may be necessary.
What are the benefits of having dialysis fistula surgery?
Those suffering from chronic kidney problems are recommended dialysis fistula surgery by their healthcare providers. Some of the many benefits include:
Improved blood flow: A dialysis fistula provides a direct connection between a vein and an artery. This allows for higher blood flow rates during hemodialysis.
Long-term access: Fistulas are considered the most durable and reliable form of vascular access for hemodialysis.
Reduced hospital visits: A well-functioning fistula minimises the need for repeated needle insertions or catheter placements, reducing the frequency of hospital visits for dialysis treatment
How long does a dialysis fistula surgery typically take?
The complexity of the treatment, the anatomy of the patient, and the surgeon's experience all affect how long a AV fistula surgery takes. The procedure can take anything from 1 to 3 hours on average.
Is hospital admission required for av fistula surgery for dialysis?
Yes, hospitalisation is frequently necessary for AV fistula surgery. Depending on several circumstances, like the patient's general health and the complexity of the surgery, the surgery takes place in a hospital setting.
This can be either as an outpatient procedure with a short hospital stay or as an inpatient procedure with a more extended hospital stay.
What is the success rate of dialysis fistula surgery?
Dialysis fistula surgery typically has a high success rate. The overall success rate of AV fistula surgery is 95.9%. The patient's general health, among other things, affects the success rates.
How much does a dialysis fistula surgery cost in India?
The cost of AV Fistula surgery in India ranges from ₹ 10,000 to ₹ 15,000. However, one needs to consult their healthcare providers for an accurate analysis of dialysis fistula surgery costs in India.
Are there any risks or complications associated with dialysis fistula surgery?
AV fistula surgery for dialysis is, in most cases, a safe and straightforward procedure. However, just Like any surgical operation, dialysis fistula surgery has risks and possible side effects, such as:
What is the recovery time after a dialysis fistula surgery?
Dialysis fistula surgery recovery times can differ from person to person. Generally speaking, the fistula may take several weeks to a few months to fully grow and become appropriate for use in haemodialysis.
How soon after the surgery can dialysis be started?
Depending on variables like general health, the type of operation, and kidney function, starting dialysis after surgery might happen at different times. For individualised guidance, it is preferable to speak with a healthcare professional.
Will I need to stay in the hospital overnight after the surgery?
The AV fistula surgery duration is about an hour. In most cases, the patients can go home the next day after staying overnight in the hospital.
However, The complexity of the procedure, the type of surgery, and your overall health state all affect how long you will need to recover in the hospital.
What kind of anaesthesia is used during a dialysis fistula surgery?
Surgery to repair a dialysis fistula is often done while sedated and under local anaesthetic. This means that the part of the body undergoing surgery is numbed. You may also be given drugs to relax and make you sleepy while the treatment is being done.
How should I prepare for dialysis fistula surgery?
The first step towards getting prepared for a fistula operation for dialysis is getting in touch with your healthcare provider. One also needs to follow these steps :
Get a complete physical examination done.
Inform your doctor about existing allergies or infections.
Follow the preoperative guidelines suggested by your healthcare provider, such as avoiding certain foods and medications.
What should I expect during the dialysis fistula surgery?
During AV fistula surgery, you can expect the following:
Blood vessel preparation
Do I need to make any dietary restrictions or lifestyle changes before or after the surgery?
One must follow the dietary restrictions suggested by the healthcare providers before and after the surgery. These primarily consist of :
Eating small meals
Eating foods that are rich in proteins
Avoiding fatty and greasy foods
Will there be any scarring after the dialysis fistula surgery?
After a dialysis fistula procedure, scarring is frequently present in some form. The degree of scarring might vary depending on elements like the surgical method employed and personal healing traits. However, the scarring has also been known to fade with time.
How long does it take for the fistula to mature after the surgery?
A dialysis fistula's development period can differ from person to person. A fistula often takes several weeks to a few months to form after surgery. The blood arteries undergo alterations during this time to permit sufficient blood flow and strengthen the fistula for use in dialysis.
Are there any limitations on physical activities after the surgery?
Yes, there may be some limitations on physical activities after the dialysis fistula surgery to ensure proper healing and maturation of the fistula.
What are the signs of infection or complications to watch out for after the surgery?
It is essential to be aware of potential signs of infection or complications after dialysis fistula surgery.
Increased pain or tenderness around the incision site.
Redness, warmth, or swelling around the incision.
Pus or drainage from the incision.
When should I follow up with my doctor after the dialysis fistula surgery?
Even in cases where the dialysis has not started, the AV fistula surgery follow-up should be done at least once after six weeks. Depending on your specific circumstances and the preferences of your healthcare specialist, the time of your follow-up appointments following dialysis fistula surgery may change.
Can a dialysis fistula surgery be performed on both arms?
AV fistula surgery is generally performed on the non-dominant arm. However, In some circumstances, both arms can undergo dialysis fistula surgery. A number of factors determine whether to develop fistulas in both arms.
Are there any alternative options to dialysis fistula surgery?
Yes, there are alternative options to dialysis fistula surgery for creating access to dialysis treatment.
How long does a dialysis fistula typically last?
A dialysis fistula that is operating well can last for many years. A fistula's lifespan can vary based on the patient's general health, the caliber of the blood arteries used for the fistula, and the way the fistula is cared for. Some fistulas can work for 10 to 15 years or longer with proper maintenance and regular monitoring.
Will I still need to undergo dialysis treatments after the surgery?
Several variables, including the degree and evolution of your kidney disease, the functionality of your kidneys, and the advice of your healthcare professional, will determine whether you require dialysis treatments after dialysis fistula surgery.
Can a dialysis fistula surgery be performed on children or elderly individuals?
Yes, children who need dialysis for kidney illness can undergo surgery to repair a dialysis fistula. The decision to do the surgery will be explicitly made after considering the child's overall health, the condition of their blood vessels, and the healthcare provider's recommendations.
Are there any factors that may affect the success of a dialysis fistula surgery?
There are several factors influencing the success of a dialysis fistula surgery:
Blood vessel health
Underlying health conditions
Patient cooperation and compliance
How can I find a qualified surgeon to perform the dialysis fistula surgery?
Start by informing your primary care physician or nephrologist of your need for a dialysis fistula operation. They can identify and refer qualified surgeons with experience in vascular access operations.
Does insurance cover dialysis fistula surgery?
There are many private as well as government schemes and life insurance that provide insurance coverage for dialysis fistula surgery. Since dialysis fistula surgery is seen as a necessary procedure for patients with end-stage kidney disease who require it, financial aid is provided in most cases.
Can a dialysis fistula surgery be revised or repaired if needed?
Yes, if necessary, a dialysis fistula procedure can be changed or fixed. A fistula may occasionally have troubles or consequences that call for medical attention.
What is the long-term outlook for patients who have undergone dialysis fistula surgery?
The overall outlook for patients undergoing surgery to repair a dialysis fistula can differ based on personal characteristics like general health, adherence to dialysis treatments, and adequate fistula care.
What are the risks associated with av fistula surgery?
AV fistula surgery carries certain risks like any surgical procedure. Although complications are relatively rare, being aware of potential risks is essential. These risks include:
Damage to the nerves or surrounding tissues
What may happen if av fistula surgery changes?
If an AV fistula undergoes changes after surgery, several scenarios may occur for which taking appropriate actions becomes a must. These scenarios include :
High-output cardiac failure
Pseudoaneursym or AV fistula formation
Neurologic deficit, etc
What are the myths versus facts about dialysis fistula surgery?
Myth: Dialysis fistula surgery is a complex and dangerous process.
Fact: Although there is some risk involved with every surgical operation, dialysis fistula surgery is a tried-and-true method that is frequently used. The risks associated with the procedure have significantly dipped with a massive improvement in surgical techniques and medical technology, and it is performed by highly skilled and experienced vascular access specialists.
Myth: Getting dialysis puts one to death.
Fact: The truth is that dialysis is not a life sentence. When the patient and the healthcare providers determine that dialysis is necessary, one is expressing the desire to live their life and feel better.
All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.
- Patient Information Renal Services Before and after surgery Information for patients, family/carers: Having an arteriovenous fistula (AVF) or arteriovenous graft (AVG) for kidney dialysis [Internet].
- Marsh AM, Genova R, Buicko JL. Dialysis Fistula [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2022.
- Lancastergeneralhealth.org. 2023 [cited 2023 Jul 26].
- Top Doctors at Apollo Hospitals. Book Appointment Now | AskApollo [Internet]. www.askapollo.com. [cited 2023 Jul 26].
- Solomonson MD, Johnson ME, Ilstrup D. Risk Factors in Patients Having Surgery to Create an Arteriovenous Fistula. Anesthesia & Analgesia. 1994 Oct;79(4):694???700.
- Yoo DW, Yoon M, Jun HJ. Successful Access Rate and Risk Factor of Vascular Access Surgery in Arm for Dialysis. Vascular Specialist International [Internet]. 2014 Mar 1 [cited 2023 Jul 26];30(1):33–7.
- Dialysis: Filtering Myths from Facts [Internet]. National Kidney Foundation. 2014.
Updated on : Monday, 31 July 2023
MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES
12 Years Experience
Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More
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His work in medical content writing and proofreading is noteworthy. He has also contributed immensely to public health research and has authored four scientific manuscripts in international journals. He was assoc...View More
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