title: Elective and emergency surgery in chronic hemodialysis patients.
abstract: OBJECTIVE
  Aim of this study was to report our experience in elective and emergency surgery on chronic hemodialysis (CH) patients for end-stage renal disease (ESRD).
  
  
  METHODS
  All patients on CH for ESRD who underwent various surgical procedures in our unit within the past 9-year period (2001-2010) were included in this study. These patients were divided into two groups according to the type of surgery performed: elective or emergency. Demographic data, indications for surgery, primary causes of ESRD, surgical procedures, postoperative complications, and mortality rates were studied.
  
  
  RESULTS
  Of 130 patients, 121 underwent elective surgery while 10 were addressed for emergency operation. In the elective surgery group, the most common diseases were secondary hyperparathyroidism, kidney diseases, cholelithiasis, and diabetic foot gangrene. Complications occurred in nine patients (morbidity rate, 7%) and only one patient died (mortality rate, 0.8%). In the emergency surgery group, the most common diseases were diabetic foot gangrene and obstructed sigmoid colon cancer. In this group, complications occurred in seven patients (total morbidity rate, 70%) and two patients died (mortality rate, 20%).
  
  
  CONCLUSIONS
  Elective surgery in patients on CH for ESRD can be performed with acceptable surgical risks provided careful preoperative preparation, intraoperative, and postoperative precautions are taken.
authors.affiliation: Department of 1st General Surgery and Transplantation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: Leyla
authors.initials: L
authors.lastname: Ozel
authors.forename: Osman
authors.initials: O
authors.lastname: Krand
authors.forename: Mustafa Sefa
authors.initials: MS
authors.lastname: Ozel
authors.forename: Ahmet Burak
authors.initials: AB
authors.lastname: Toros
authors.forename: Jülide
authors.initials: J
authors.lastname: Sağıroğlu
authors.forename: Melih
authors.initials: M
authors.lastname: Kara
authors.forename: Erdal
authors.initials: E
authors.lastname: Erdoğdu
authors.forename: Bülent
authors.initials: B
authors.lastname: Yiğit
authors.forename: Pınar
authors.initials: P
authors.lastname: Ata
authors.forename: Faruk
authors.initials: F
authors.lastname: Çavdar
authors.forename: Mesut Izzet
authors.initials: MI
authors.lastname: Titiz
mesh_terms: D000328:Adult; D017558:Elective Surgical Procedures; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies