Stitches are used to close the cut in the skin. ![]() This will allow some of the blood in the artery to be redirected to the vein. The artery, which carries blood from the heart, and the vein, which carries blood back to the heart, will be joined together by making a small opening between them. The surgeon will make a small cut in the skin. It is usually created either at the level of your wrist or in the elbow region. Your fistula will usually be created in your non-dominant arm - (the arm you don't write with) so in your left arm if you are right handed. This would be the case is a bigger operation is required or you are unlikely to tolerate local anaesthetic. Some people may need a general anaesthetic where you go to sleep. ![]() Your fistula is usually created during a small operation that is usually done under a local anaesthetic, which makes your skin go numb so you do not feel anything.
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