Brachial fistula operation note

Incision
Veins
Artery
After clamps off
Post-op

Operation note

Transverse incision in {{opSide}} {{opLocation}}. The cephalic vein {{cephVeinConfig}} was {{cephVeinCalibre}} and {{cephVeinQuality}}. {{cephalicComments | sentence}} The basilic vein {{basVeinConfig}} was {{basVeinCalibre}} and {{basVeinQuality}}. {{basilicComments | sentence}} The brachial artery was {{artCalibre}} and {{artQuality}}. {{arteryComments | sentence}} A {{arteriotomy}} arteriotomy was made using a {{punchSize}} punch in the {{anastomosisArtery}} artery and {{anastomosisType}} anastomosis was made from {{veinUsed}} vein with {{anastomosisTechnique}} {{anastomosisSuture}}. {{anastomosisSuture}} using three interrupted sutures at the heel of the anastomosis then continuous sutures.

The basilic vein was superficialised: it was explored and mobilised along the arm, then divided distally before being placed more superficially along the midline of the arm using a tunnelling device.

The basilic vein was superficialised: it was explored and mobilised along the arm, then a subcutaneous flap raised to place the vein more superficially along the midline of the arm.

On release of clamps there was {{flowComments}}. {{flowAction}}. Haemostasis was confirmed and skin closed with {{skinClosure}}. There was {{endOpFlow}} at the end of the procedure.

Post-op instructions