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Haemodialysis access surgery
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== Radiocephalic == * 3cm longitudinal incision in distal forearm, midway between radial artery and cephalic vein * Dissect cephalic vein free - ensure >3cm free for transposition * Dissect 2cm section of radial artery free - ligate small branches * 5000 units IV heparin * Mark and transect vein, transfixing the distal end, and check length * Dilate and distend the vein * Occlude the artery with two small microvascular clamps, and make a 6mm arteriotomy * End-to-side anastomosis with 6/0 Prolene * Check thrill, distal pulse, hand perfusion * Deep dermal and skin sutures
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