Your Perth Specialist Dialysis Access Surgeons and Radiologists
Dedication. Expertise. Passion.
Dedicated, high volume adult & paediatric kidney transplant and dialysis access specialists in Western Australia
Patient Procedures and Resources:
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Creating an arteriovenous fistula (AVF):
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An arteriovenous fistula is where a vein and an artery in your arm are joined directly (anastomosed) together under your skin. The blood in the artery flows into the vein with high pressure, making the vein larger and stronger. The vein is then usually large enough (matures) to work for your dialysis treatment after 6 to 8 weeks.
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Peritoneal Dialysis Access Surgery:
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“Keyhole” Laparoscopic insertion of a Peritoneal Dialysis Catheter (A plastic tube is inserted into the abdomen using keyhole instruments) & this tube allows fluid to drain in (and drain out) of the abdomen to facilitate dialysis at home.
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Fistulogram, plasty (balloon dilatation), endovascular stents and other procedures to the arteries and veins in your arm:
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This is a test in which X-ray contrast (dye) is injected into your fistula. The test gives information about the veins and artery of your fistula or graft, a bit like a map. The test helps to show any narrowing, or blockage in the blood vessels of your fistula - and then allows the interventional radiology team to perform any required treatment.
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Hernia Surgery:
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Peritoneal Dialysis will worsen pre-existing abdominal hernia symptoms (including inguinal, femoral, umbilical, spigelian and incisional hernias) - and generally require repair to allow successful dialysis.
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Inguinal and femoral hernia repairs may affect how a future kidney transplant is performed, all patients that may require a future kidney transplant Must AVOID laparoscopic inguinal hernia repair (TEP) - and instead have a considered, planned open hernia repair in a lower abdominal location (to facilitate future kidney transplant).
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Infusaport – Tunnelled Central Venous Access Surgery (for Chemotherapy)
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Insertion of a long-standing tunnelled line (underneath the skin) – to facilitate intravenous medication or chemotherapy administration.
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Hickman/central dialysis line – Tunnelled Central Venous Access Surgery (for temporary or emergency dialysis)
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Insertion of a long-standing tunnelled line (underneath the skin) – to facilitate haemodialysis. (used as a bridge while waiting for your arteriovenous fistula to mature)
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General Surgery
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Our surgeons also offer all typical “General Surgery” cases – including gallbladder and hernia surgery, removal of superficial skin and subcutaneous lumps and bumps​​
