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Renal replacement therapy: implications for the surgeon.

S F Bellringer1, Lt Col Hc Guthrie2, Bem Talbot3

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Summary

Patients on renal replacement therapy, including peritoneal dialysis, hemodialysis, and kidney transplantation, often need surgery. This review covers common surgical procedures and their complications for these individuals.

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Area of Science:

  • Nephrology
  • Surgical Procedures
  • Renal Replacement Therapy

Background:

  • Renal replacement therapy (RRT) encompasses peritoneal dialysis, hemodialysis, and kidney transplantation.
  • Patients requiring RRT frequently necessitate surgical interventions for various medical reasons.
  • Understanding these surgical needs and potential complications is crucial for patient management.

Purpose of the Study:

  • To review common surgical procedures performed on patients undergoing renal replacement therapy.
  • To identify and discuss frequent complications associated with these surgical interventions.
  • To provide a comprehensive overview for clinicians managing RRT patients requiring surgery.

Main Methods:

  • Literature review of surgical procedures in patients on renal replacement therapy.
  • Synthesis of information on common surgical interventions and their associated risks.
  • Identification of frequently encountered complications.

Main Results:

  • Patients on RRT undergo diverse surgical procedures, including those related to dialysis access and post-transplant management.
  • Common complications can range from infection and bleeding to specific issues related to the type of RRT.
  • The review highlights the importance of tailored surgical approaches and vigilant postoperative care.

Conclusions:

  • Surgical management in RRT patients is complex and requires specialized knowledge.
  • Anticipating and managing surgical complications is vital for optimizing outcomes in this patient population.
  • Further research into standardized surgical protocols for RRT patients may improve care.