Abstract
We surveyed 97 patients on hemodialysis who underwent operations excluding blood access and catheter insertion for peritoneal dialysis at Osaka Medical College Hospital between January 1992 and December 1997 and compared the results with those of a previous survey (1986-1990, 120 cases). When compared to the previous survey, the number of patients who underwent coronary artery bypass grafting (CABG), lobectomy of the lung, and valve replacement during thoracic surgery, as well as hematoma removal during neuro surgery increased, while the number of patients who underwent carpal tunnel release, resection of gastric duodenal ulcers, resection of parathyroidectomy, and renal transplantation decreased. The postoperative complications included hyperkalemia, digestive tract bleeding, and infections. The incidence of complications decreased compared to the previous surgery mainly because the procedures were safely performed in dialysis patients due to improvements inpre-, intra-, and post-operative management.
