The dressing is waterproof, so showering is ok. The arm should be used for daily activities as per usual. Avoid heavy lifting or sport/work which may injure the operative site.
A squeeze/rubber ball can be used for exercise of the hand on the side of the fistula. This may promote fistula maturation. These exercises can be performed several times a day.
Please contact me if you notice pain in the fingertips, wound redness, discharge or swelling.
If you can feel the ‘buzz’ in the fistula, this should be checked daily. Please contact me immediately if this buzz disappears, as you may require urgent consultation to revive the fistula.