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[Changes in kidney function in abdominoperineal rectum excision under halothane anesthesia].

I Pulay, J Járay, O Alánt

    Acta Chirurgica Academiae Scientiarum Hungaricae
    |January 1, 1977
    PubMed
    Summary
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    Abdomino-perineal rectum extirpation significantly decreased urine volume but not osmolality. Patients with impaired kidney function require close monitoring and hydration during this surgery.

    Area of Science:

    • Nephrology
    • Surgical Anesthesia

    Context:

    • Abdomino-perineal rectum extirpation is a major surgical procedure.
    • Combined intratracheal halothane anesthesia is used.
    • Renal function can be affected by surgical stress.

    Purpose:

    • To determine urine volume and serum/urine osmolality during abdomino-perineal rectum extirpation.
    • To understand the impact of surgical stress on renal function.
    • To identify risks for patients with pre-existing renal deficiency.

    Summary:

    • Seventeen patients undergoing abdomino-perineal rectum extirpation showed a significant decrease in urine volume.
    • Despite reduced urine output, serum and urine osmolality did not increase.
    • Surgical stress during the procedure impacts renal secretory and concentrating capacities.

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    Impact:

    • Patients with deficient renal function are at high risk of renal failure post-surgery.
    • Emphasizes the importance of close patient observation.
    • Highlights the necessity of pre-operative hydration and diuretic administration for at-risk patients.