Immediate and Delayed Management of Renal Trauma

Mazeman, E

doi:10.1159/000020115

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…The radiological evaluation criteria used in cases where renal injury is suspected are the following: (i) penetrating trauma through the abdomen and flank area without consideration of the degree of hematuria, (ii) blunt traumas with gross hematuria, (iii) microscopic hematuria and blunt traumas associated with shock (systolic blood pressure less than 90 mmHg), (iv) all pediatric renal injuries with hematuria, and (v) deceleration injury or suspected intra‐abdominal injuries 9,14 , 15 . Abdominal computerized tomography (CT) is the most sensitive imaging method for the diagnosis and classification of kidney trauma 16 . However, IVU may also be performed as the first step in the evaluation of hemodynamically stable patients with renal injuries.…”

Section: Discussionmentioning

confidence: 99%

“…The most important factor affecting mortality in patients with renal trauma is the presence of associated injuries and their extent. More than 60% of patients with major renal trauma have associated injuries 16 …”

Section: Discussionmentioning

confidence: 99%

“…9,14,15 Abdominal computerized tomography (CT) is the most sensitive imaging method for the diagnosis and classification of kidney trauma. 16 However, IVU may also be performed as the first step in the evaluation of hemodynamically stable patients with renal injuries. Abdominal CT is necessary only if there is an abnormal finding in IVU, for detecting associated organ injuries or for grading renal injuries.…”

Section: Discussionmentioning

confidence: 99%

“…More than 60% of patients with major renal trauma have associated injuries. 16 In conclusion, the nephrectomy rate is high in highgrade renal injuries with associated organ injuries. In order to decrease morbidity and mortality in these cases, quick transport and effective first aid are mandatory.…”

Section: Discussionmentioning

confidence: 99%

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Retrospective analysis of 135 renal trauma cases

Şahın¹,

Akay²,

Yılmaz³

et al. 2004

Int J of Urology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Retrospective analysis of 135 renal trauma cases

Şahın¹,

Akay²,

Yılmaz³

et al. 2004

Int J of Urology

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show abstract

“…In a personally developed classification (1996), the clinical severity of the morphologic forms of injury and different symptoms of injury are assigned to the various organ systems. However, this classification has been criticized as being a hindrance or too complex for emergency situations [2,[31][32][33]. In the new, simplified classification given in this paper, the localization, injuries, symptoms, and severity of a renal trauma are combined with each other, so that every case can be differentially described by its decisive factors and three degrees of severity in a simple formula.…”

Section: Discussionmentioning

confidence: 99%

Clinical Classification of Renal Injuries

Lent

2003

European Journal of Trauma

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Purpose: To assess whether previous classifications of renal injuries fulfill their purpose and to propose an alternative classification scheme. Material and Methods: In a retrospective analysis, papers that were published in the last 50 years and provided information on pathogenesis, localization, classification, treatment, and monitoring of the progress of renal injuries were evaluated with respect to the number or the frequency of severity grades and parenchymal ruptures, primary and secondary operations or nephrectomies, and early and late complications. Results: 24 papers were evaluated. These showed marked heterogeneity of all basal data and target parameters. The number of cases ranged from 40 to 510, the control periods from 5 to 29 years. The proportion of ruptures ranged from 11.2% to 100%, the percentage of cases treated operatively from 6.5% to 100%, of cases treated conservatively from 0 to 95.29%, of nephrectomies from 3.53% to 19.0%, and the rate of late sequelae/complications from 5.03% to 47.14%. There were seven classifications used with different frequencies, rankings, and criteria. In most of these, the morphologic injuries to the renal parenchyma were graded. The injuries to the renal pelvis-calyx system and the pedicle vessels were assigned without differentiation to a higher degree of severity. The prognostic and therapeutically decisive effects of the respective injuries -bleeding, urine extravasation, disorders of renal functionwere not taken into account at all. Conclusions: Previous classifications of renal injuries are based on anatomic changes without regard to their clinical consequences and degrees of severity. In the new classification scheme presented here, the injured organ systems (parenchyma, collecting system, pedicle vessels) and the existing symptoms of injury (bleeding, urine extravasation, disorders of renal function) are classified according to severity (slight, moderate, severe). Every injury can be defined using a simplified trauma formula (A B C -I II III) that expresses the severity, is relevant to decision-making, and provides advantages for practical emergencies and scientific comparisons.

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Renal Trauma

Serafetinides¹

Emergencies in Urology

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Immediate and Delayed Management of Renal Trauma

Cited by 8 publications

References 30 publications

Retrospective analysis of 135 renal trauma cases

Retrospective analysis of 135 renal trauma cases

Clinical Classification of Renal Injuries

Renal Trauma

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