RESUMO
1. To highlight the occurrence of Acute Renal Failure [ARF] in surgical patients. 2. To identify high risk patients. DESIGN: Retrospective study. SETTING: Department of Surgery Allied Hospital Faisalabad. PERIOD: June 95 to May 96. PATIENTS AND METHODS: 21 patients 11 males [52.38%] and 10 females [47.62%] including 2 children both males [9.52%] Their ages ranged between 8 to 63 years. [mean 35.5 years]. 6 patients [28.57%] presented in acute renal failure [ARF] on admission, whereas the remaining 15 patients [71.43%] developed Acute Renal Failure [ARF] in the postoperative period. 15 patients [71.43%] went into ARF in the postoperative period. Out of these, 8 patients [overall 38.10%] had surgery for malignant disease, 1 patient [4.76% overall] had surgery for obstructive jaundice and 6 patients [28.57% overall] had surgery for kidney/ ureteric stones. The remaining group of patients who presented with ARF on admission included "Crush Syndrome." following skeletal/ soft tissue trauma, 3 patients [14.28%], obstructive uropathy 2 patients [9.52%] and major burns [70%] 1 patient [4.76%]. All patients underwent haemodialysis. Six patients [28.57%] died despite active management