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This open access book on Surgery in Uremic Patients is a comprehensive guide for general surgeons about the management of the most prevalent surgical challenges and procedures in patients with renal failure. It covers preoperative assessment, anesthetic considerations, postoperative care, and specialized procedures. The book emphasizes understanding uremia's impact on organ systems for informed decision-making. It discusses anesthetic strategies tailored to uremic patients, postoperative complications, and preventive measures like managing infections and fluid imbalances. Specialized procedures such as dialysis access surgery are detailed, along with integrating technology into modern surgical practices. Common surgeries like appendectomy, hernia repair, and cholecystectomy are optimized to minimize complications. Upper and lower gastrointestinal surgeries, hepatobiliary surgery, urological surgery, transplant surgery, endocrinosurgery, bariatric surgery, geriatric surgery, and abdominal emergencies are thoroughly covered. The book concludes with key findings, clinical implications, and future research avenues, serving as a valuable resource for surgeons and students enhancing their approach to uremic patient care.
List of contents
Foreword.- Preface .- Acknowledgements.-1. Pathophysiology of Uremia, Preoperative Assessment and Risk Stratification.- 2. Anesthetic Considerations. Postoperative Care and Complications.- 3. Dialysis access surgery.- 4. Common General Surgical Procedures: Wall Defects in Kidney Transplant Patients.- 5. Common General Surgical Procedures: Cholecystectomy, Appendectomy, Anal Surgery.- 6. Upper Gastrointestinal non oncologic Surgery.- 7. Upper Gastrointestinal oncologic Surgery.- 8. Diverticulitis and Other Colitis in Kidney Transplant Patients.- 9. Lower Gastrointestinal oncologic Surgery.- 10. Hepatobiliary non oncologic Surgery.- 11. Hepatobiliary oncologic Surgery.- 12. Non-oncologic Pancreatic Surgery .- 13. Oncologic Pancreatic Surgery in Uremic Patients.- 14. Kidney Surgery .- 15. Kidney Transplant Surgery.- 16. General surgery and Kidney Transplantation.- 17. Endocrine surgery: Thyroid and Parathyroid.- 18. Endocrine surgery: Adrenal and Breast Surgery.- 19. Bariatric surgery.- 20. Geriatric Surgery.- 21. Abdominal Emergency Surgery.- 22. The Role of Interventional Radiology in Uremic Patient.- 23. Additional Iconography.- 24. Conclusion.