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Doctor insights on: Button Hole Dialysis Access

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Dr. Quresh Khairullah
519 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Dialysis shunt and dialysis fistula the same?

Dialysis shunt and dialysis fistula the same?

No: A shunt, or graft, is a piece of synthetic tubular material inserted under the skin that dialysis needles insert directly into. A fistula is a connection of your own artery to a vein. Needles are then placed into the vein when the wall thickness matures. ...Read more

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Could patient on peritoneal dialysis swim?

Could patient on peritoneal dialysis swim?

Yes: Only once it heals well after initial insertion. Three to six months minimum. You still need to be very careful with it ...Read more

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1)can patent urachus suddenly occur out of the blue at age of 20 in men?2)can poking ur belly button punture a hole that lets urine leak out?

1)can patent urachus suddenly occur out of the blue at age of 20 in men?2)can poking ur belly button punture a hole that lets urine leak out?

1) Yes. 2) No.: A patent urachus is a still open congenital connection between the umbilicus (bellybutton) and the dome of the bladder. Poking your bellybutton will not cause it. A patent urachus is manifested by urine leaking out of the bellybutton or infection of the abdominal wall or bladder. Although we usually see it in younger children, it can become apparent in an older child or adult. Surgery is needed. ...Read more

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Hi, do umbilicoplasties remove hernias on the belly button? Also, does the surgical procedure called a hernia repair turn an outie to an innie?

Hi, do umbilicoplasties remove hernias on the belly button? Also, does the surgical procedure called a hernia repair turn an outie to an innie?

Umbilical hernias. : Umbelicoplasty should involve a repair of an umbelical hernia. But it does not have to. These are two different procedures. I would always do the following in the same procedure. 1) repair the hernia 2) do the umbelicoplasty and remove the excess tissue and 3) convert an "outie" to an "innie" ...Read more

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I may have an abscess that is infected in/near my belly button, that has begun to leak blood/yellow puss about of my belly button. Doctors open 3 days?

I may have an abscess that is infected in/near my belly button, that has begun to leak blood/yellow puss about of my belly button. Doctors open 3 days?

You might need antibiotics if it is not improving. A culture of the puss would be helpful.: You might need antibiotics if it is not improving. A culture of the puss would be helpful. ...Read more

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Penrose drain removed from scrotum on day 3 postop; drain-hole remains open on day 9 postop. Weeping blood, spotting gauze pad. No pus. Is this Okay?

Penrose drain removed from scrotum on day 3 postop; drain-hole remains open on day 9 postop. Weeping blood, spotting gauze pad. No pus. Is this Okay?

Yes fine: This does not sound worrisome and will soon close. Shower, keep it clean, and this will be fine soon. Be sure to follow up with your treating surgeon. ...Read more

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Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

You should call your: surgeon for guidance but sometimes a wound can spread in spite of that type of closure if there is strain on the wound. As long as there is no drainage or reddening of the wound or any increasing pain, fevers, chills or sweats-it should be ok but check with your surgeon just to make sure. ...Read more

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Mum, 64, had successful lap surgery removed right ovary & cyst. Post op care? Also water boils near incision sites. Using lactofine lotion on them ok?

Mum, 64, had successful lap surgery removed right ovary & cyst. Post op care? Also water boils near incision sites. Using lactofine lotion on them ok?

Follow up: After laparoscopic surgery, most patients can resume normal activities relatively quickly. Consult your surgeon in this regard. "water boils" near incision sites are frequently blisters related to the adhesive in the dressings used to cover the incisions. Keep these sites clean and dry, and see your surgeon in his office for a postop visit as directed by him. ...Read more

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Where is the perma cath placed for dialysis?

The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read more

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Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Diverticulitis, drain tube placed on pelvic, gets 5ml/24h gray foul smelling fluid. Is safe to remove drain tube? What is this fluid?

Do not remove: You likely had an infection due to a diverticulum rupturing, causing localized peritonitis and then abscess. Treatment for this is drainage and antibiotics until the abscess and inflammation resolves. Taking the tube out too early can cause reaccumulation of pus. See a colorectal surgeon following resolution to see whether you should have follow up surgery to removed the diseased segment. ...Read more

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Why do physicians use metal needles to access dialysis fistula?

Why do physicians use metal needles to access dialysis fistula?

It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read more

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How deep is a vp shunt placed under the skin ?

How deep is a vp shunt placed under the skin ?

Vp shunt: it's under the superficial skin layer so sometimes you can feel it ...Read more

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Gallbladder removed 2 weeks ago.4 poke holes.There's a small hard lump formed beneath poke hole below chest? No other poke holes have lumps? Hernia?

Gallbladder removed 2 weeks ago.4 poke holes.There's a small hard lump formed beneath poke hole below chest? No other poke holes have lumps? Hernia?

Observe : 2weeks is hard to imagine is a hernia. Probably a hematoma. I would observe for now. It is less likely to get a hernia in that location. I would e check in 4 weeks. If still there and bothers you then consider imaging. ...Read more

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What role do films play in peritoneal dialysis exit sites?

Peritoneal: X-rays can show if the peritoneal catheter is in the right place or if there are kinks in the catheter that can affect you dialysis. It can also show if omentum or any other intestinel issue (constipation) is playing a role in decreased flow rates and dialysis problems. ...Read more

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Would dialysis using a permanent catheter in the only patent left phimoral vein rule out transplantation on it ? Had aneurysmal rupture on the right.

Would dialysis using a permanent catheter in the only patent left phimoral vein rule out transplantation on it ? Had aneurysmal rupture on the right.

Very tricky: Transplantation requires an adequate vein near an adequate artery and the bladder. Even if a femoral vein has been damaged, the vein higher up in the abdomen (the iliac or the vena cava) may still support a transplant. These technical details need to be carefully reviewed with a transplant surgeon in advance of transplantation. Most of the time, it is still possible. Best of luck. ...Read more

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After the umbilical stump falls off, is the belly button opening supposed to close up? My 3 week old's fused shut. Should it be reopened?

After the umbilical stump falls off, is the belly button opening supposed to close up? My 3 week old's fused shut. Should it be reopened?

Sounds pretty normal: Most cord stumps will separate by a week or so ant the site will seal over by a month.Your description sounds normal.If concerned, cal your docs office and see what they recommend. ...Read more

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Will newborn need surgery for belly button bleeding?

Will newborn need surgery for belly button bleeding?

See below: Highly unlikely. Some bleeding as the cord separates is normal. If there is mucous coming from the site, or the site is red and swollen, your child should be seen. ...Read more

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