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

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3 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 languageEnglish
Pages (from-to)690-695
Number of pages6
JournalSurgery today
Volume44
Issue number4
DOIs
Publication statusPublished - Apr 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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    Tomino, T., Uchiyama, H., Itoh, S., Higashi, T., Edagawa, A., Egashira, A., Eguchi, D., Kawanaka, H., Okuyama, T., Tateishi, M., Korenaga, D., & Takenaka, K. (2014). Outcomes of emergency surgery for acute abdomen in dialysis patients: Experience of a single community hospital. Surgery today, 44(4), 690-695. https://doi.org/10.1007/s00595-013-0673-7