Outcomes of emergency surgery for acute abdomen in dialysis patients: Experience of a single community hospital

Takahiro Tomino; Hideaki Uchiyama; Shinji Itoh; Takahiro Higashi; Ai Edagawa; Akinori Egashira; Daihiko Eguchi; Hirofumi Kawanaka; Toshiroh Okuyama; Masahiro Tateishi; Daisuke Korenaga; Kenji Takenaka

doi:10.1007/s00595-013-0673-7

Outcomes of emergency surgery for acute abdomen in dialysis patients: Experience of a single community hospital

Takahiro Tomino, Hideaki Uchiyama, Shinji Itoh, Takahiro Higashi, Ai Edagawa, Akinori Egashira, Daihiko Eguchi, Hirofumi Kawanaka, Toshiroh Okuyama, Masahiro Tateishi, Daisuke Korenaga, Kenji Takenaka

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Purpose: Long-term dialysis often causes physiological and metabolic problems that may affect the outcomes of surgery. The aim of this study was to elucidate whether emergency surgery for acute abdomen yields similar outcomes in dialysis patients versus non-dialysis patients. Methods: The subjects were 126 patients who underwent emergency surgery for acute abdomen between January, 2007 and November, 2011 in our hospital. They were divided into a dialysis group (HD group; n = 9) and a non-dialysis group (non-HD group; n = 117) and their postoperative morbidity and mortality were compared. Results: Postoperative morbidity and mortality were significantly worse in the HD group. All 9 of these patients succumbed to postoperative complications versus only 5 of the 117 patients in the non-HD group. Conclusion: The outcomes of emergency surgery for acute abdomen were significantly worse for dialysis patients than for non-dialysis patients. Prompt diagnosis, initiation of the most suitable surgical procedure, and meticulous postoperative cares are imperative to improving the surgical outcomes of dialysis patients.

Original language	English
Pages (from-to)	690-695
Number of pages	6
Journal	Surgery today
Volume	44
Issue number	4
DOIs	https://doi.org/10.1007/s00595-013-0673-7
Publication status	Published - Apr 2014
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery

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10.1007/s00595-013-0673-7

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title = "Outcomes of emergency surgery for acute abdomen in dialysis patients: Experience of a single community hospital",

abstract = "Purpose: Long-term dialysis often causes physiological and metabolic problems that may affect the outcomes of surgery. The aim of this study was to elucidate whether emergency surgery for acute abdomen yields similar outcomes in dialysis patients versus non-dialysis patients. Methods: The subjects were 126 patients who underwent emergency surgery for acute abdomen between January, 2007 and November, 2011 in our hospital. They were divided into a dialysis group (HD group; n = 9) and a non-dialysis group (non-HD group; n = 117) and their postoperative morbidity and mortality were compared. Results: Postoperative morbidity and mortality were significantly worse in the HD group. All 9 of these patients succumbed to postoperative complications versus only 5 of the 117 patients in the non-HD group. Conclusion: The outcomes of emergency surgery for acute abdomen were significantly worse for dialysis patients than for non-dialysis patients. Prompt diagnosis, initiation of the most suitable surgical procedure, and meticulous postoperative cares are imperative to improving the surgical outcomes of dialysis patients.",

author = "Takahiro Tomino and Hideaki Uchiyama and Shinji Itoh and Takahiro Higashi and Ai Edagawa and Akinori Egashira and Daihiko Eguchi and Hirofumi Kawanaka and Toshiroh Okuyama and Masahiro Tateishi and Daisuke Korenaga and Kenji Takenaka",

year = "2014",

month = apr,

doi = "10.1007/s00595-013-0673-7",

language = "English",

volume = "44",

pages = "690--695",

journal = "Surgery Today",

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T1 - Outcomes of emergency surgery for acute abdomen in dialysis patients

T2 - Experience of a single community hospital

AU - Tomino, Takahiro

AU - Uchiyama, Hideaki

AU - Itoh, Shinji

AU - Higashi, Takahiro

AU - Edagawa, Ai

AU - Egashira, Akinori

AU - Eguchi, Daihiko

AU - Kawanaka, Hirofumi

AU - Okuyama, Toshiroh

AU - Tateishi, Masahiro

AU - Korenaga, Daisuke

AU - Takenaka, Kenji

PY - 2014/4

Y1 - 2014/4

N2 - Purpose: Long-term dialysis often causes physiological and metabolic problems that may affect the outcomes of surgery. The aim of this study was to elucidate whether emergency surgery for acute abdomen yields similar outcomes in dialysis patients versus non-dialysis patients. Methods: The subjects were 126 patients who underwent emergency surgery for acute abdomen between January, 2007 and November, 2011 in our hospital. They were divided into a dialysis group (HD group; n = 9) and a non-dialysis group (non-HD group; n = 117) and their postoperative morbidity and mortality were compared. Results: Postoperative morbidity and mortality were significantly worse in the HD group. All 9 of these patients succumbed to postoperative complications versus only 5 of the 117 patients in the non-HD group. Conclusion: The outcomes of emergency surgery for acute abdomen were significantly worse for dialysis patients than for non-dialysis patients. Prompt diagnosis, initiation of the most suitable surgical procedure, and meticulous postoperative cares are imperative to improving the surgical outcomes of dialysis patients.

AB - Purpose: Long-term dialysis often causes physiological and metabolic problems that may affect the outcomes of surgery. The aim of this study was to elucidate whether emergency surgery for acute abdomen yields similar outcomes in dialysis patients versus non-dialysis patients. Methods: The subjects were 126 patients who underwent emergency surgery for acute abdomen between January, 2007 and November, 2011 in our hospital. They were divided into a dialysis group (HD group; n = 9) and a non-dialysis group (non-HD group; n = 117) and their postoperative morbidity and mortality were compared. Results: Postoperative morbidity and mortality were significantly worse in the HD group. All 9 of these patients succumbed to postoperative complications versus only 5 of the 117 patients in the non-HD group. Conclusion: The outcomes of emergency surgery for acute abdomen were significantly worse for dialysis patients than for non-dialysis patients. Prompt diagnosis, initiation of the most suitable surgical procedure, and meticulous postoperative cares are imperative to improving the surgical outcomes of dialysis patients.

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Outcomes of emergency surgery for acute abdomen in dialysis patients: Experience of a single community hospital

Abstract

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