Outcomes of emergency surgery for acute abdomen in dialysis patients: experience of a single community hospital
| Autor: | Shinji Itoh, Akinori Egashira, Kenji Takenaka, Takahiro Higashi, Hirofumi Kawanaka, Ai Edagawa, Takahiro Tomino, Hideaki Uchiyama, Daisuke Korenaga, Masahiro Tateishi, Daihiko Eguchi, Toshiroh Okuyama |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Hospitals Community Young Adult Postoperative Complications Japan Renal Dialysis Surgical oncology medicine Humans Young adult Child Survival rate Dialysis Aged Abdomen Acute Aged 80 and over Postoperative Care business.industry Postoperative complication General Medicine Middle Aged Community hospital Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Acute abdomen Abdomen Female Emergencies medicine.symptom business |
| Zdroj: | Surgery Today. 44:690-695 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-013-0673-7 |
| Popis: | 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. 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. 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. 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. |
| Databáze: | OpenAIRE |
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