This study aim to report our experience in the fabrication of arteriovenous fistulas (AVF) by describing the operative technique and the immediate surgical results. The study carried out retrospective study of the records of 1467 patients who underwent AVF creation during the period from January 2008 to December 2020. 1396 patients (95.2%) had already been dialyzed with a central venous catheter for one month (1 and 6 months). The procedures were performed under local anesthesia. Distal radio-cephalic AVFs were performed in 92.2% of cases. The fabrication of a radio cephalic arteriovenous fistula was described. The arteriovenous fistulas were patented in 100% at the end of the procedure. We observed 3.1% complications in the immediate postoperative period. Morbidity was constituted by early thrombosis which represented 58.8% of complications followed by false aneurysms (27.5%), compressive hematomas (11.8%) and hemorrhages (1.9%). Fistulas complicated by thrombosis were reconnected. Treatment of the false aneurysm consisted of evacuation of the false aneurysm, surgical hemostasis, and removal of the AVF. The native arteriovenous fistula is the best access route for chronic hemodialysis. This procedure carries little risk. However, complications can be fatal, hence the interest of an early and adapted management of these complications.

Background: Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are major health care problems worldwide even in Pediatric population. The etiology of CKD in children with ESRD is varied. Most of them are started on peritoneal dialysis or hemodialysis before being considered for renal transplantation.The aims and objective of this study was to analyzed the patient group, methodology, results and outcomes of hemodialysis catheter insertion and continuous ambulatory peritoneal dialysis (CAPD) catheter insertion for children with ESRD. The etiology of ESRD in children with CKD is also reviewed.Methods: All children with ESRD who underwent CAPD catheter and haemodialysis catheter insertion over a period of 5 years were included in the study. CAPD catheters were inserted by open and laparoscopic assisted methods. The procedures were done without image guidance due to logistical constraints in a limited resource scenario. Analysis of all relevant case records, operative notes and postoperative events were done.Results: A total of 40 patients who underwent CAPD and hemodialysis catheter insertions were analysed. The primary cases (no previous insertion of dialysis catheter) included 29 and secondary cases (history of previous insertion of dialysis catheter) were 7. Re-insertions (of the same type of dialysis catheter) were 2 in each group. No significant complications occurred in either group.Conclusions: Dialysis catheters for ESRD in Paediatric population can be inserted safely even without image guidance and with very few complications.