S‐II‐03 A Study of Wound Healing in Chronic Hemodyalsis Patients after Abdominal Operation

Abstract

Aim: This paper reports on the delay in wound healing of chronic hemodyalysis patients who under‐went abdominal surgery. Methods: The subjects were 19 hemodyalysis patients who had had elective abdominal operations and 20 hemodyalysis patients who had undergone emergency abdominal surgery. For all subjects, we retroactively investigated the incidence of wound complications and the differences in postoperative values for TP, ALB, RBC and HGB between the wound‐complication group and the no‐ wound‐complication group. Results: In the elective‐surgery group, the incidence of wound complications was 21%, including one suture failure, one wound deficiency and three wound infections. No patients died. In the emergency‐surgery group, the incidence of wound complications was 40%, with two suture failures, four wound deficiencies and two wound infections. The postoperative death rate was 20%. There was no significant difference in TP, ALB, RBC, or HGB between the wound‐complication group and the non‐complication group in either the elective or the emergency surgery group. Conclusions: In hemodyalysis patients, pre‐and postoperative infection had a great influence on wound healing.