Surgical Problems in Patients on Maintenance Dialysis

Lawton, Richard L.; Gulesserian, H. P.; Rossi, Nicholas P.

doi:10.1001/archsurg.1968.01340020147018

Cited by 23 publications

(6 citation statements)

References 2 publications

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“…The first involves preoperative undernutrition, anemia, electrolyte abnormalities, bleeding tendency, and decreased immune function [6][7][8][9][10][11][12][13]. In the present study, preoperative cardiac comorbidity factors included angina pectoris and myocardial infarction, and were seen at a high frequency in 8 of the 21 patients (38%).…”

Section: Discussionmentioning

confidence: 71%

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Suehiro¹,

Okutani²

2011

J Anesthe Clinic Res

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Introduction: Among the perioperative complications encountered in patients with renal failure, there is a high risk of events such as heart failure and increased susceptibility to infection. Herein, we report the results of our investigation of perioperative management in patients with chronic renal failure who underwent a pulmonary resection. Methods:The subjects were 21 hemodialysis patients with renal failure who underwent pulmonary resection for lung cancer. We retrospectively investigated their clinical characteristics and perioperative management. The patients were classified into two groups; those with and without symptoms of postoperative acute heart failure. Intergroup comparisons of preoperative examinations and management were performed. Results:The most common preoperative comorbidity was cardiac complications, which occurred at a high incidence of 38%. There were no serious perioperative complications. In contrast, postoperative complications associated with renal failure were numerous, including acute heart failure in 3 (14%) and hyperkalemia in 2 (9.5%). We concluded that preoperative respiratory function, intraoperative fluid infusion volume, and preoperative cardiac comorbidities are potential risk factors for postoperative heart failure in such patients. Conclusion:Although there were no cases with perioperative mortality, postoperative complications were encountered, including heart failure and hyperkalemia, suggesting that more stringent cardiovascular and respiratory management techniques are necessary.

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Section: Discussionmentioning

confidence: 71%

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Suehiro¹,

Okutani²

2011

J Anesthe Clinic Res

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“…In 1972, Lawton and Sharzer119 started the use of SV grafting in the construction of an arteriovenous fistula for patients needing prolonged hemodialysis. Construction of subcutenous arteriovenous fistulae for hemodialysis with autologous SVGs used to be done in five ways 5: straight radial artery-cephalic vein, loop brachial artery-cephalic vein, straight brachial artery-auxiliary vein, straight axillary artery-basilic vein, and femoral artery-saphenous vein stump fistulas.…”

Section: Vascular Access Surgerymentioning

confidence: 99%

A Reappraisal of Saphenous Vein Grafting

Yuan

Hua

2011

Ann Saudi Med

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Autologous saphenous vein grafting has been broadly used as a bypass conduit, interposition graft, and patch graft in a variety of operations in cardiac, thoracic, neurovascular, general vascular, vascular access, and urology surgeries, since they are superior to prosthetic veins. Modified saphenous vein grafts (SVG), including spiral and cylindrical grafts, and vein cuffs or patches, are employed in vascular revascularization to satisfy the large size of the receipt vessels or to obtain a better patency. A loop SVG helps flap survival in a muscle flap transfer in plastic and reconstructive surgery. For dialysis or transfusion purposes, a straight or loop arteriovenous fistula created in the forearm or the thigh with an SVG has acceptable patency. The saphenous vein has even been used as a stent cover to minimize the potential complications of standard angioplasty technique. However, the use of saphenous vein grafting is now largely diminished in treating cerebrovascular disorders, superior vena cava syndrome, and visceral revascularization due to the introduction of angioplasty and stenting techniques. The SVG remains the preferable biomaterial in coronary artery bypass, coronary osteoplasty, free flap transfer, and surgical treatment of Peyronie disease. Implications associated with saphenous vein grafting in vascular access surgery for the purpose of dialysis and chemotherapy are considerable. Vascular cuffs and patches have been developed as an important and effective means of enhancing the patency rates of the grafts by linking the synthetic material to the receipt vessel. In addition, saphenous veins can be a cell source for tissue engineering. We review the versatile roles that saphenous vein grafting has played as well as its current status in therapy.

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“…Lawton points out that according to historical record, Jews were expelled from France three times, and that despite expulsion edicts Jewish mercantile communities continued to play key roles in Toulouse, the Baltic, and parts of Italy. 19 Does such inconsistency not demonstrate that expulsions could be incomplete, that Jews could return to banned regions, or remain hidden by divesting themselves of their identifying clothing, making sincere or mendacious conversions, or in any case somehow reassemble when the expulsion frenzy had subsided? Could the daughters of these communities not have intermarried?…”

Section: A a A A An N N N Nt T T T Ti-s I-s I-s I-s I-se E E E Em M Mmentioning

confidence: 99%

Anti-Semitism, Surrogacy, and the Invocation of Mohammed in the Play of the Sacrament

Chemers¹

2007

cdr

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Surgical Problems in Patients on Maintenance Dialysis

Cited by 23 publications

References 2 publications

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

A Reappraisal of Saphenous Vein Grafting

Anti-Semitism, Surrogacy, and the Invocation of Mohammed in the Play of the Sacrament

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