title: Outcomes of emergency surgery for acute abdomen in dialysis patients: experience of a single community hospital.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgery, Fukuoka City Hospital, Fukuoka, 812-0046, Japan, takahiro.tomino0320@gmail.com.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Tomino
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Shinji
authors.initials: S
authors.lastname: Itoh
authors.forename: Takahiro
authors.initials: T
authors.lastname: Higashi
authors.forename: Ai
authors.initials: A
authors.lastname: Edagawa
authors.forename: Akinori
authors.initials: A
authors.lastname: Egashira
authors.forename: Daihiko
authors.initials: D
authors.lastname: Eguchi
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Toshiroh
authors.initials: T
authors.lastname: Okuyama
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tateishi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Korenaga
authors.forename: Kenji
authors.initials: K
authors.lastname: Takenaka
mesh_terms: D000006:Abdomen, Acute / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004630:Emergencies; D005260:Female; D006764:Hospitals, Community / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D006435:Renal Dialysis / Q000009:adverse effects*; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult