About your graft for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit)
|
|
- Hugh Gibbs
- 6 years ago
- Views:
Transcription
1 About your graft for dialysis Information for patients Sheffield Kidney Institute (Renal Unit)
2 page 2 of 12
3 You will have discussed with your doctor that your kidney condition means that you need to have regular dialysis. In order for this to happen, we will need to take blood out of your body, clean it in a machine and return it back to you. The blood for dialysis will be removed and returned through suitable blood vessels called veins. To make the veins suitable for dialysis you will need an operation. In some cases the veins are not suitable and we have to use a synthetic (man-made) tube called a graft. In this leaflet, we explain what a graft is, what it does and how you need to look after it. We hope that we will have answered all your questions. If after reading this leaflet you would like to know more or have some questions then please speak to a member of staff at the renal unit. What is a graft? A graft is a synthetic (man-made) tube placed under the skin that joins your artery and vein. The graft will be placed under the skin in your arm or thigh where there are larger blood vessels. This graft acts as an artificial vein that can be used for taking out and returning blood to you. Why do I need a graft? When you dialyse, blood is taken out of your body, cleaned by a machine and returned to you quickly. This is usually done three times a week. Dialysis will help you to lead a normal and healthy life. Needles will be placed in your blood vessel to take out and return the blood to your body. Your normal veins are not strong enough to have needles placed into them three times a week for dialysis treatment. They therefore need to be strengthened by diverting blood from arteries. If your veins are not large enough or if they are not close enough to an artery to be joined together we need to use a graft. The graft acts as an page 3 of 12
4 artificial vein and can be used for dialysis. Needles can be placed in it whenever you need dialysis. Brachial artery Loop-shape graft Without the graft (or a dialysis catheter), you will not be able to have treatment on the dialysis machine. A graft is a better way to have treatment on the dialysis machine than a dialysis catheter because: there is less risk of getting an infection in a graft than in a dialysis catheter your blood can usually be cleaned by the machine at a faster speed meaning your dialysis treatment may be more effective Where is the graft placed? Grafts are placed under the skin either in the forearm, upper arm or thigh. They look like prominent veins which stand out all the time. Before the operation you will be seen by a surgeon who will decide the best site for the graft. Sometimes you may need a scan to identify suitable blood vessels for the graft. page 4 of 12
5 To have this operation you will need an anaesthetic. An anaesthetist will see you before the operation and talk with you about the type of anaesthetic that will be best for you. This could be by either numbing your whole arm or leg called a regional anaesthetic or by putting you to sleep - a general anaesthetic. When will I have the operation? When you have been seen in the outpatient clinic you may be given a date to have the operation if you need dialysis soon. If you do not need dialysis for some time, your name will be placed on a list. Nearer the time you need dialysis you will be contacted and given a date for the operation. We must obtain your consent for any procedure or treatment beforehand. Staff will explain all the risks, benefits and alternatives before they ask for your consent. If you are unsure about any part of the procedure or treatment that is being suggested, please do not hesitate to ask for more information. Do I need a check up before the operation? Before your operation, you will get an appointment to come to the pre-assessment clinic at the hospital. At the clinic, you will have tests to make sure you are well enough to have the operation. These tests may include measuring your blood pressure, an ECG (heart trace) and blood tests for example. The appointment may take up to three hours. It is very important that you come for this check up. The operation may need to be arranged for another time if you need more tests or are not fit enough to have the operation. page 5 of 12
6 How long does the operation take and how long do I need to stay in hospital? It usually takes about an hour to have the operation but it may take more or less time than this. Usually you do not need to stay in hospital for more than one day and sometimes you may be able to go back home on the same day. What happens after the graft is put in? Slight soreness after the operation is common. Taking painkillers like Paracetamol can help take any pain or soreness away. There is a small chance of some swelling of the fingers, arms or leg after the operation depending upon where the graft is placed. The swelling should go down with time. It is a good idea to take off rings and other jewellery from your arm before the operation. After the operation you will be given advice on how to care for the wound, when the dressing can be taken off and when the stitches can be removed. You will be able to feel the "buzzing" over the graft. This is a good sign as it means the graft is working well. The graft is usually ready to be used in about 2 weeks but in some cases the graft may be used earlier than this. If you have any problems or questions after your operation about your graft you can call the renal unit for advice. The telephone numbers are at the end of this leaflet. page 6 of 12
7 Can anything go wrong after the graft is put in? As with any operation there is a risk of infection, bleeding and bruising. Sometimes there can be swelling of your arm or leg more than usual. You may be advised to raise your arm on pillows when sitting or lying down or to keep your leg raised up. You may have some numbness around the scar and the thumb. This is caused by the nerves near the artery and vein being handled during the operation. The numbness should get better with time but occasionally it carries on. This will not stop you being able to use your hand. Can anything go wrong later on? Sometimes the graft can stop working. This is usually caused by a clot inside the graft. If this is the case, you may need to have an operation to unblock (declot) the graft. This may be done either by a radiologist (X-ray doctor) in the X-ray department or by a surgeon in the operating theatre. Unblocking (declotting) done in the X-ray department by a radiologist (X-ray doctor): This is done using a needle, wire and a type of balloon. It is usually done using local anaesthetic. It is not a painful procedure though some people may experience some discomfort. The graft may be able to be used straight away. Unblocking of your graft may also be done by the surgeon in the operating theatre using local anaesthetic. This would involve a small cut to the graft and the clot being removed. page 7 of 12
8 Occasionally the graft may need unblocking and a further piece of graft being put in (a bypass). This would be done by the surgeon in the operating theatre. A regional or general anaesthetic may be needed. It may not be possible to use the graft straight away. It may take some time for the swelling caused by the surgery to go down before the graft can be used. Some people have problems with their blood clotting. This can mean that the graft does not work well or stops working altogether. You may be given tablets to thin the blood to help stop this from happening. Occasionally the vein to which the graft is joined can become narrow over time (sometimes called a stenosis) and this can mean that your dialysis treatment is less effective. Again, you may need more treatment for this problem. Rarely, you may notice pain and coldness in the fingers especially during dialysis. This happens because there is less blood going to the hand and fingers after the graft has been put in. This is called "steal syndrome" and more treatment or another operation may be needed to stop this from happening. Very rarely, the blood supply to the nerves in the arm can be affected which can cause pain and may affect the function in the hand. This will need an operation to stop the graft working so that the pain and function of the hand can recover over many months. Sometimes the graft can become weaker over time and this could increase the chances of it bleeding. You will be sent an appointment for a scan of your graft after it has been in place for 2 years and then every year after that. This is to check for any signs of weakness. If a weakness is detected you may need to have a new graft put in. page 8 of 12
9 How do I look after my graft at home? Check your graft every day to make sure that you can feel the buzz as this means that it is working properly. Always try to keep your graft arm warm. Always keep your graft arm / leg as clean as possible as this will help prevent an infection. Wash your graft arm / leg with soap and water before dialysis and dry thoroughly. Do not remove the scabs on the graft. Do not wear tight cuffs, clothing, watches or bandages around your graft arm. Try to avoid sleeping with your head resting on your graft arm. Do not let anyone (including doctors and nurses) take your blood pressure using your graft arm. Never allow anyone to take blood from your graft. Try not to bump or scratch the graft. Keep it safe from sharp objects and your finger nails as they can cause your graft to become infected. Carry on using your hand as normal. page 9 of 12
10 What should I do if something is wrong with my graft? If your graft stops working (you can no longer feel a buzz) please call the renal unit straight away. The telephone numbers are at the end of this leaflet. It will be more difficult to get the graft working again the longer it has stopped. If you notice any swelling or redness in your graft contact the unit straight away. This may mean you have developed an infection. If you develop pain in your hand or arm (and it is not coming from the graft operation wounds or over the graft) contact the renal unit straight away. You may need to be seen by a doctor or a surgeon to see if you have steal syndrome and whether you need an operation to resolve the pain. What should I do if my graft starts to bleed at home? If your graft starts to bleed, apply pressure to the bleeding area and contact the unit straight away. If blood starts spurting from your graft at any time, apply firm pressure over the bleeding area and call 999 for an ambulance straight away. Tell ambulance control that you are a renal haemodialysis patient and that you are bleeding from your dialysis graft. page 10 of 12
11 Contact details: If you have questions or need help and advice please call: Sorby Renal Outpatients (Room 1) Monday - Friday 8.30am pm Renal F Floor (Northern General Hospital) After 4.00pm and at weekends or Or, if you are already having dialysis you can ring the ward where you have your treatment: Peter Moorhead Dialysis Unit Sunday - Friday 7.00am pm Renal G Floor Monday - Saturday 7.00am pm Barnsley Dialysis Unit Monday - Saturday 7.00am pm Chesterfield Dialysis Unit Monday - Saturday 7.00am pm Rotherham Dialysis Unit Monday, Wednesday and Friday 7.00am pm Tuesday, Thursday and Saturday 7.00am pm Sheffield Dialysis Centre Sunday - Friday 7.00am pm or page 11 of 12
12 Produced with support from Sheffield Hospitals Charity Working together we can help local patients feel even better To donate visit Registered Charity No Alternative formats can be available on request. Please Sheffield Teaching Hospitals NHS Foundation Trust 2017 Re-use of all or any part of this document is governed by copyright and the Re-use of Public Sector Information Regulations 2005 SI 2005 No Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals. PD5158-PIL1694 v5 Issue Date: September Review Date: September 2019
About your fistula for dialysis. Information for patients Sheffield Kidney Institute (Renal Unit)
About your fistula for dialysis Information for patients Sheffield Kidney Institute (Renal Unit) You will have discussed with your doctor that your kidney condition means that you need to have regular
More informationAbout your tunnelled dialysis catheter. Information for patients Sheffield Kidney Institute (Renal Unit)
About your tunnelled dialysis catheter Information for patients Sheffield Kidney Institute (Renal Unit) You will have discussed with your doctor that your kidney condition means that you need to have regular
More informationHaving a kidney biopsy. Information for patients Sheffield Kidney Institute (Renal Unit)
Having a kidney biopsy Information for patients Sheffield Kidney Institute (Renal Unit) This leaflet is designed to answer any questions you may have about having a biopsy of your kidney. We hope that
More informationHaemodialysis access with an arteriovenous fistula
Haemodialysis access with an arteriovenous fistula NHS Logo here Health & care information you can trust The Information Standard Certified Member Working together for better patient information If you
More informationYour visit to the Breast Clinic. Information for patients Breast Services
Your visit to the Breast Clinic Information for patients Breast Services This leaflet will provide you with information about the Breast Clinic and what might happen during your appointment. If after reading
More informationThoracic outlet syndrome and cervical or first rib removal. Information for patients Sheffield Vascular Institute
Thoracic outlet syndrome and cervical or first rib removal Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed with having thoracic outlet syndrome (TOS). This information
More informationTransjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute
Transjugular intrahepatic portosystemic shunt (TIPS) Information for patients Sheffield Vascular Institute You have been given this leaflet because you need a procedure called a transjugular intrahepatic
More informationCaring for your fistula / graft
Caring for your fistula / graft Information for you Follow us on Twitter @NHSaaa Find us on Facebook at www.facebook.com/nhsaaa Visit our website: www.nhsaaa.net All our publications are available in other
More informationPatient information for care of the arteriovenous dialysis access fistula (AVF)
Patient information for care of the arteriovenous dialysis access fistula (AVF) This leaflet explains: How to take care of a new fistula How to help the fistula develop How to protect the fistula How we
More informationArthroscopic capsular release. Information for patients Orthopaedics - Upper Limb
Arthroscopic capsular release Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation
More informationThe arteriovenous fistula for haemodialysis
The arteriovenous fistula for haemodialysis Department of Renal Medicine Patient Information Leaflet Introduction The information contained in this booklet is for: Patients waiting to go on the haemodialysis
More informationLiver biopsy. Information for patients Hepatobiliary
Liver biopsy Information for patients Hepatobiliary page 2 of 8 What is a liver biopsy? A liver biopsy is a procedure in which we remove a small sample of tissue from your liver and examine it under a
More informationEndovascular repair for abdominal aortic aneurysm (EVAR) Information for patients Sheffield Vascular Institute
Endovascular repair for abdominal aortic aneurysm (EVAR) Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed as having an Abdominal Aortic Aneurysm (AAA) and it has
More informationCarotid Endarterectomy
Information for patients Carotid Endarterectomy Northern General Hospital You have been diagnosed as having Carotid Artery Disease and need an operation called a Carotid Endarterectomy. This leaflet explains
More informationInformation for patients. Vena Cava Filters. Sheffield Vascular Institute. Northern General Hospital
Information for patients Vena Cava Filters Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as Vena Cava Filter insertion. This
More informationWho is this leaflet for? What is a fistula? How is the fistula formed?
Your fistula Who is this leaflet for? Your doctor has told you that your kidneys are not working properly. One of the many functions of the kidneys is to get rid of waste products from your body. If your
More informationCT myelogram. Information for patients Radiology
CT myelogram Information for patients Radiology page 2 of 8 Myelogram Why do you need a myelogram? Most people who have a suspected problem with the nerves in their neck or back can be investigated with
More informationCaudal epidural. Information for patients Pain Management Service
Caudal epidural Information for patients Pain Management Service As part of your treatment it has been suggested that you may benefit from a caudal epidural. It is difficult to say how much this treatment
More informationRivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy
Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about
More informationWhat is a lumbar puncture? Information for patients Neurology
What is a lumbar puncture? Information for patients Neurology page 2 of 8 What is a lumbar puncture? A lumbar puncture is the removal of some of the fluid which surrounds your brain and spinal cord. Lumbar
More informationBLEEDING EMERGENCY. Always apply pressure directly over the bleeding site with your thumb or use an inverted bottle top to localise the pressure
Bleeding between dialysis sessions is very rare and there are almost always warning signs before this happens. Warning signs include:- Infection of the fistula Bulging area, usually with shiny skin and
More informationCARE OF YOUR FISTULA
CARE OF YOUR FISTULA 1 . What is a fistula? An arteriovenous fistula, or AVF, is a vessel that is formed by joining a vein to an artery in your arm during an operation to form an accessible blood vessel
More informationWhat is a lumbar puncture? Information for patients Outpatient Parenteral Antibiotic Therapy Service
What is a lumbar puncture? Information for patients Outpatient Parenteral Antibiotic Therapy Service page 2 of 8 A lumbar puncture is the removal of some of the fluid which surrounds your brain and spinal
More informationThrombolysis in stroke patients. Information for patients Neurology
Thrombolysis in stroke patients Information for patients Neurology page 2 of 8 What is a stroke? A stroke is a serious medical condition that occurs when there is either a blockage in one of the blood
More informationPlanning for your arteriovenous graft and care of your graft after surgery
Planning for your arteriovenous graft and care of your graft after surgery Information for patients from the Kent Kidney Care Dialysis Access Team This leaflet will explain what an arteriovenous graft
More informationVascular malformation embolisation. Information for patients Sheffield Vascular Institute
Vascular malformation embolisation Information for patients Sheffield Vascular Institute You have been diagnosed with a vascular malformation, which may benefit from a treatment called embolisation. This
More informationRecurrent varicose veins. Information for patients Sheffield Vascular Institute
Recurrent varicose veins Information for patients Sheffield Vascular Institute You have been diagnosed as having varicose veins that have recurred (come back). This leaflet explains more about recurrent
More informationInjection sclerotherapy. Information for patients Sheffield Vascular Institute
Injection sclerotherapy Information for patients Sheffield Vascular Institute page 2 of 8 You have been diagnosed as having varicose veins that are suitable for injection sclerotherapy. This leaflet explains
More informationEEG telemetry with intracranial electrodes. Information for patients Clinical Neurophysiology
EEG telemetry with intracranial electrodes Information for patients Clinical Neurophysiology You have already been assessed as suitable to join the Epilepsy Surgery Programme. Prior to admission for intracranial
More information1st stage neuromodulation test
1st stage neuromodulation test Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST page 2 of 12 This leaflet is to give you some background information
More informationCarotid stenting. Information for patients Sheffield Vascular Institute
Carotid stenting Information for patients Sheffield Vascular Institute page 2 of 12 You have been diagnosed as having carotid artery disease and you may benefit from having a procedure called carotid stenting.
More informationSpinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG) Information for patients
Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion Stimulation (DRG) Information for patients Dorsal Root Ganglion Stimulator Spinal Cord Stimulator page 2 of 12 Stage 1 - Screening trial The following
More informationTotal elbow replacement. Information for patients Orthopaedics - Upper Limb
Total elbow replacement Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation you
More informationUpper limb surgery in high spinal cord injury. Information for patients Therapy Services
Upper limb surgery in high spinal cord injury Information for patients Therapy Services Introduction If you have had an injury to the upper part of your spinal cord you may have very limited or no movement
More informationSub-acromial decompression surgery. Information for patients Orthopaedics - Upper Limb
Sub-acromial decompression surgery Information for patients Orthopaedics - Upper Limb Introduction The Upper Limb Unit team would like you and your family to understand as much as possible about the operation
More informationInsertion of a Haemodialysis Catheter
Insertion of a Haemodialysis Catheter Exceptional healthcare, personally delivered Introduction This leaflet is about the procedure required to put in a temporary dialysis catheter. It is intended to give
More informationPancreas transplants. What you need to know. Information for patients Sheffield Kidney Institute (Renal Unit)
Pancreas transplants What you need to know Information for patients Sheffield Kidney Institute (Renal Unit) page 2 of 16 What is the pancreas and why is it transplanted? The pancreas is part of the digestive
More informationLower limb angioplasty and stenting. Information for patients Sheffield Vascular Institute
Lower limb angioplasty and stenting Information for patients Sheffield Vascular Institute Why have I been given this leaflet? You have been given this leaflet because you need a procedure known as an angioplasty
More informationPatient Information Having a Fistuloplasty or Venoplasty
Patient Information Having a Fistuloplasty or Venoplasty Renal Department Introduction This leaflet is intended to provide you with information about having a fistuloplasty. What is a fistuloplasty or
More informationUW MEDICINE PATIENT EDUCATION. Hemodialysis. A treatment option for kidney disease. Treatment Options for Kidney Disease
UW MEDICINE PATIENT EDUCATION Hemodialysis A treatment option for kidney disease Class Goals 1. Understand the purpose and care of blood access. 2. Understand the purpose and basic principles of hemodialysis.
More informationPlasma exchange. Information for patients Sheffield Kidney Institute (Renal Unit)
Plasma exchange Information for patients Sheffield Kidney Institute (Renal Unit) Plasma exchange This leaflet explains about plasma exchange; the benefits, risks, alternatives and what you can expect when
More informationPreventing blood clots while you are in hospital and after you leave. Information for patients Pharmacy
Preventing blood clots while you are in hospital and after you leave Information for patients Pharmacy Why does blood clot? When we cut ourselves, we bleed. To stop us from bleeding too much, chemicals
More informationAngiogram, angioplasty and stenting
Angiogram, angioplasty and stenting Who is this leaflet for? This leaflet is for people who are having: an angiogram angioplasty (with or without a stent) An angiogram (also called an arteriogram or angiography)
More informationRenal psychology service. Information for patients Department of Psychological Services
Renal psychology service Information for patients Department of Psychological Services page 2 of 8 Information for service users This leaflet describes the Renal Psychology Service and answers some commonly
More informationRemoval of external fixator. Information for patients Sheffield Teaching Hospitals
Removal of external fixator Information for patients Sheffield Teaching Hospitals page 2 of 8 This booklet aims to help you understand the process of removing your external fixator, once the limb reconstruction
More informationArteriovenous malformation (AVM)
Arteriovenous malformation (AVM) What happens now? Information for patients Stereotactic Radiosurgery PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST page 2 of 8 You have now
More informationRuthenium plaque treatment
Ruthenium plaque treatment Information for patients Ophthalmology (Oncology) What is ruthenium plaque treatment? This is a treatment whereby a plaque is surgically placed over the tumour in your eye. The
More informationBladder neck bulking injection. Information for patients Gynaecology
Bladder neck bulking injection Information for patients Gynaecology What is a bladder neck bulking agent? It is a treatment option for stress urinary incontinence in women. What are the benefits of this
More informationThe Colorectal (bowel) Family History Clinic. Information for patients Endoscopy
The Colorectal (bowel) Family History Clinic Information for patients Endoscopy What does the Colorectal Family History Clinic provide? The Family History Clinic provides a chance for you to talk about
More informationTrans urethral resection of prostate (TURP)
Trans urethral resection of prostate (TURP) Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST What is the prostate? Only men have a prostate
More informationMallet finger. Information for patients The Sheffield Hand Centre
Mallet finger Information for patients The Sheffield Hand Centre What is mallet finger? You have an injury known as mallet finger. This is when your finger can bend down at the end joint and cannot be
More informationOrbital decompression surgery for proptosis
Orbital decompression surgery for proptosis Procedure information Information for patients Ophthalmology (Ocular Plastics) Large Print This leaflet explains about the problem you have and how surgery can
More informationNational Hospital for Neurology and Neurosurgery. Cerebral angiogram (Overnight stay) Neurovascular Team
National Hospital for Neurology and Neurosurgery Cerebral angiogram (Overnight stay) Neurovascular Team If you would like this document in another language or format or if you require the services of an
More informationGraft for Hemodialysis
St. Joseph s Healthcare Hamilton Kidney and Urinary Program Graft for Hemodialysis What is a graft? A graft is a man-made tube that joins an artery and a vein in your arm. The graft is called an access.
More informationThe Leeds Teaching Hospitals NHS Trust Fistulogram, Fistuloplasty and Venoplasty
n The Leeds Teaching Hospitals NHS Trust Fistulogram, Fistuloplasty and Venoplasty Information for patients Your doctor has recommended that you have a procedure on your fistula. This leaflet will explain
More informationEctropion repair. To improve eye lid position. Information for patients Ophthalmology (Ocular Plastics) Large Print
Ectropion repair To improve eye lid position Information for patients Ophthalmology (Ocular Plastics) Large Print This leaflet explains about the problem you have, and how surgery can be used to treat
More informationMohs surgery. Information for patients Dermatology
Mohs surgery Information for patients Dermatology Why have I been given this leaflet? You have been given this leaflet because you are going to have a procedure known as Mohs surgery. This leaflet explains
More informationBotox for chronic migraine. Information for patients Neurology
Botox for chronic migraine Information for patients Neurology This leaflet is not intended to replace the manufacturer's information page 2 of 8 What is Botox? Botox is the brand name for Botulinum Toxin
More informationLaparoscopic Ventral Mesh Rectopexy
Laparoscopic Ventral Mesh Rectopexy (LVMR) Information for patients General Surgery What is a LVMR? A laparoscopic ventral mesh rectopexy (LVMR) is an operation in which the rectum (last part of the bowel)
More informationOutpatient care for patients with neutropenia. Information for patients Weston Park Hospital
Outpatient care for patients with neutropenia Information for patients Weston Park Hospital page 2 of 8 Information for patients who have neutropenia and are going home with oral antibiotics. What is neutropenia?
More informationIntermittent self-catheterisation (ISC) Information for patients Spinal Injuries
Intermittent self-catheterisation (ISC) Information for patients Spinal Injuries page 2 of 12 What is clean intermittent self-catheterisation (CISC)? Urinary catheterisation is a procedure used to drain
More informationGoing home after major gynaecological surgery. Information for patients Gynaecology
Going home after major gynaecological surgery Information for patients Gynaecology page 2 of 16 Discharge advice following your surgery You have had a major operation. This booklet gives some useful advice
More informationLooking after yourself with early chronic kidney disease. Information for patients Sheffield Kidney Institute (Renal Unit)
Looking after yourself with early chronic kidney disease Information for patients Sheffield Kidney Institute (Renal Unit) page 2 of 12 Introduction We have written this leaflet for people who have been
More informationKnee joint arthroscopy
Critical Care, Theatres & Diagnostics Knee joint arthroscopy Information for patients This booklet answers some of the questions you may have about having a knee joint arthroscopy. It explains the risks
More informationFemoro-popliteal bypass surgery. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Femoro-popliteal bypass surgery Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the
More informationHaving a renal biopsy
Having a renal biopsy Department of Renal Medicine/Day Surgery Unit Patient Information Leaflet Introduction This leaflet tells you about the procedure known as a renal biopsy. It tells you what the procedure
More informationHaving a hysterectomy
Having a hysterectomy Gynaecology Oncology Information for patients Gynaecology It is expected that you will have discussed other methods of treatment for your health concern with your doctor and have
More informationDepartment of Vascular Surgery Femoral-Popliteal and Femoral-Distal Bypass Grafts
Department of Vascular Surgery Femoral-Popliteal and Femoral-Distal Bypass Grafts Why do you need the operation? You need this operation because you have either pain in your legs or a leg ulcer or gangrene
More informationArteriovenous (AV) fistulae for haemodialysis
Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Arteriovenous (AV) fistulae for haemodialysis This information sheet explains about the arterio-venous fistula method
More informationRemoval of external fixator
Removal of external fixator Information for patients Sheffield Teaching Hospitals PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST This booklet aims to help you understand the
More informationHaving a diagnostic catheter angiogram
Having a diagnostic catheter angiogram This information leaflet will explain what an angiogram is and why you have been sent for one. Please read this leaflet carefully. If you have any questions or concerns
More informationLumbar drains. Information for patients Neurosurgery
Lumbar drains Information for patients Neurosurgery Why do I need drainage of my cerebrospinal fluid (CSF)? The brain and spinal cord are bathed in clear fluid like a baby in the womb. This cerebrospinal
More informationArthroscopy of the ankle. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Arthroscopy of the ankle Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
More informationWhat is an EMG / Nerve conduction study? Information for patients Clinical Neurophysiology
What is an EMG / Nerve conduction study? Information for patients Clinical Neurophysiology We must obtain your consent for any procedure beforehand. Staff will explain all the risks, benefits and alternatives
More informationLaparoscopic (keyhole) colorectal (bowel) resection
Laparoscopic (keyhole) colorectal (bowel) resection Your operation explained Information for patients Colorectal Surgery Introduction This leaflet should be read together with a booklet which explains
More informationCervical laminectomy for spinal cord compression. Information for patients Neurosurgery
Cervical laminectomy for spinal cord compression Information for patients Neurosurgery What is a compression of the spinal cord and how has it been caused? The bones in our back are called vertebras and
More informationTrapeziectomy. Day Surgery Unit. Patient information leaflet
Trapeziectomy Day Surgery Unit Patient information leaflet This leaflet outlines the risks, general advice and information about hand surgery called trapeziectomy. If you have any questions or concerns,
More informationIt is important to learn all you can about your access so you can take better care of yourself.
PEP CONNECT PEP Talk Outline Topic Vascular Access P A T I E N T E D U C A T I O N P R O G R A M An adequate permanent vascular access is the key to living long and well on dialysis. There are three kinds
More informationThe temporary haemodialysis catheter
The temporary haemodialysis catheter Department of Renal Medicine Patient Information Leaflet Introduction The information in this booklet is for: People have renal failure and who require urgent haemodialysis.
More informationIntravenous anti-cancer treatment
Intravenous anti-cancer treatment Information for patients Chemotherapy Name Hospital No Your consultant is Anti-cancer treatment is the term used to describe medicines used to treat cancer including chemotherapy.
More informationDeformity correction. A patient's guide. Information for patients Sheffield Teaching Hospitals
Deformity correction A patient's guide Information for patients Sheffield Teaching Hospitals This leaflet applies to any deformity correction and it will set out the general principles and complications.
More informationLidocaine Hydrochloride BP 2% w/v in Lutrol F127 24% w/v Sterile Gel. Information for patients Pharmacy
Lidocaine Hydrochloride BP 2% w/v in Lutrol F127 24% w/v Sterile Gel Information for patients Pharmacy This leaflet contains important information about your medicine; please read it carefully. If you
More informationArch Angiography. Exceptional healthcare, personally delivered
Exceptional healthcare, personally delivered This leaflet has been prepared to tell you about arch angiography. It will explain what will happen during this procedure and we hope that it will answer some
More informationThis leaflet is available in other formats including large print, audio tape, CD and braille, and in languages other than English, upon request.
Information for inpatients This leaflet is available in other formats including large print, audio tape, CD and braille, and in languages other than English, upon request. Med/304.1 (2012) Page 1 of 8
More informationFemoro-femoral bypass surgery. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Femoro-femoral bypass surgery Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
More informationFemoral shaft fracture surgery (femoral nailing)
Femoral shaft fracture surgery (femoral nailing) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that
More informationPatient Information for Consent
Patient Information for Consent OS12 Femoral Shaft Fracture Surgery (Femoral Nailing) Expires end of February 2017 Issued June 2016 Local information If you need any more information please contact your
More informationSurgery to reconstruct the anterior cruciate ligament of the knee (ACL reconstruction)
Surgery to reconstruct the anterior cruciate ligament of the knee (ACL reconstruction) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery
More informationCardiac Catheterisation and Balloon Coronary Angioplasty
Cardiac Catheterisation and Balloon Coronary Angioplasty Exceptional healthcare, personally delivered Cardiac Catheterisation This process is known as Angiography or Angiogram. It is a test performed under
More informationHaematuria Clinic. Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST
Haematuria Clinic Information for patients Urology PROUD TO MAKE A DIFFERENCE SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST The Haematuria Clinic You have been referred to the Haematuria Clinic as
More informationRenal angioplasty (including transplant kidneys) and stent insertion
Renal angioplasty (including transplant kidneys) and stent insertion UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationFemoral endarterectomy
Femoral endarterectomy The femoral arteries run from the groin to the thigh delivering blood to your legs. When there is a narrowing or blockage in these arteries, the blood supply to the legs is reduced,
More informationBunion Surgery. Patient information Leaflet
Bunion Surgery Patient information Leaflet April 2017 What is a bunion? A bunion is a bony lump on the side of your foot at the base of your big toe (see figure 1). This may be an isolated problem but
More informationAV Fistula for Dialysis
AV Fistula for Dialysis Introduction Before starting regular hemodialysis sessions, you must first prepare a vascular access. A vascular access is the site on your body where blood is removed and returned
More informationElbow fracture surgery (adult) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Elbow fracture surgery (adult) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
More informationFistula for Hemodialysis
St. Joseph s Healthcare Hamilton Kidney and Urinary Program Fistula for Hemodialysis What is a fistula? A fistula is the joining of an artery and a vein by a surgeon. The fistula is called an access. It
More informationPa#ent Informa#on for Consent
Pa#ent Informa#on for Consent ER_OS02 Total Knee Replacement Enhanced Recovery Expires end of November 2018 Local Informa#on For further informa0on locally you can contact the Pa0ent Advice & Liaison Service
More informationDepartment of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft
Department of Vascular Surgery Femoral to Femoral or Iliac to Femoral Crossover Bypass Graft Why do you need this operation? You need this operation because you have either pain in your legs or a leg ulcer
More informationWhat is a hydrocele? It is a swelling caused by a build-up of fluid in the fluid sac surrounding the testicle. It is very common.
Repair of hydrocele Urology Department Patient Information Leaflet Introduction This leaflet is for people who have been recommended to have a procedure to repair a hydrocele. It gives information on what
More informationYour visit to the Nuclear Medicine Department. Information for patients Nuclear Medicine
Your visit to the Nuclear Medicine Department Information for patients Nuclear Medicine page 2 of 12 Your visit to the Nuclear Medicine Department Your doctor would like you to come to the Nuclear Medicine
More information