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

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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.

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Conflict of interest

We have no conflict of interest with regard to the contents of this manuscript.

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Authors and Affiliations

  1. Department of Surgery, Fukuoka City Hospital, Fukuoka, 812-0046, Japan

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

Authors
  1. Takahiro Tomino
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  2. Hideaki Uchiyama
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  3. Shinji Itoh
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  4. Takahiro Higashi
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  5. Ai Edagawa
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  6. Akinori Egashira
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  7. Daihiko Eguchi
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  8. Hirofumi Kawanaka
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  9. Toshiroh Okuyama
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  10. Masahiro Tateishi
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  11. Daisuke Korenaga
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  12. Kenji Takenaka
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Corresponding author

Correspondence to Takahiro Tomino.

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Tomino, T., Uchiyama, H., Itoh, S. et al. Outcomes of emergency surgery for acute abdomen in dialysis patients: experience of a single community hospital. Surg Today 44, 690–695 (2014). https://doi.org/10.1007/s00595-013-0673-7

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  • DOI: https://doi.org/10.1007/s00595-013-0673-7

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