[Proportion of surgical workload related to chronic renal failure in an urology and transplantation operating room].
OBJECTIVE
To evaluate the proportion of surgical workload, in terms of time and number of procedures, devoted to chronic renal failure surgery in an urology and transplantation operating room.


METHODS
Analysis of the operative activity of the urology and transplantation operating room of Amiens Hospital over a period of one year (2003), by evaluating the number of procedures and the operating room occupation time (time between entry and exit from the operating room) recorded on ecology forms completed for each operation. Procedures performed in this operating room comprise conventional adult urological surgery and chronic renal failure procedures (from creation of venous access sites for haemodialysis to treatment of complications of renal transplantation).


RESULTS
Surgical management of chronic renal failure in the operating room represents 22.6% of all procedures and 30.1% of the operating room occupation time. 69% of the renal transplantation operating time and 95% of kidney harvesting operating time are performed on an oncall basis.


CONCLUSIONS
Operative activity related to chronic renal failure represents almost one third of the total surgical workload of a department managing this disease. These data justify the allocation of additional surgical resources adapted to this activity that is growing in parallel to the number of patients with chronic renal failure.
Tillou
Xavier
X
Service d'Urologie et Transplantation, CHU Amiens, France. xavtillou@hotmail.com
Moriniere
Philippe
P
Hakami
Farivar
F
Demailly
Manuel
M
Fourmarier
Marc
M
Westeel
Pierre-François
PF
Saint
Fabien
F
Petit
Jacques
J
D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D009873:Operating Rooms / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013520:Urologic Surgical Procedures / Q000706:statistics & numerical data*; D016526:Workload / Q000706:statistics & numerical data*