Management of high-grade renal injury in children

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
M H OkurS Otcu

Abstract

The management of severe renal trauma is disputable. Herein, we present diagnosis and treatment of patients with high-grade renal injury (grades IV and V). The records of 31 patients with severe renal trauma who were treated between 2009 and 2014 were analyzed retrospectively. All patients' CT results were evaluated by two radiologists and assigned grades of IV or V in accordance with the American Association for the Surgery of Trauma Organ Injury Severity Scale. All hemodynamically stable renal trauma patients were treated conservatively. Patients with renal traumas of grade IV and V were evaluated statistically via the SPSS 15.0 software program. Chi-square and Mann-Whitney U tests were used to evaluate the categorical data. Thirteen (42 %) of 31 patients had grade IV, and 18 (58 %) had grade V renal traumas. Twenty-seven (87 %) of the patients had suffered blunt trauma, and four (13 %) had sustained penetrating injuries. Additional organ injuries were seen in 16 patients (52 %), and 15 (48 %) had no concurrent injuries. Twenty-five patients (89 %) were monitored conservatively, three (10 %) underwent surgery, and three patients with grade V renal trauma and additional organ injuries died. There was no statistically significa...Continue Reading

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Citations

Nov 30, 2016·The Surgical Clinics of North America·David M Notrica, Maria E Linnaus
Sep 1, 2017·Annals of Surgery·Marc ColacoRyan P Terlecki
Feb 2, 2019·Aging and Disease·Dong LiuJiansong Yuan
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Dec 13, 2019·World Journal of Emergency Surgery : WJES·Federico CoccoliniUNKNOWN WSES-AAST Expert Panel
Aug 21, 2021·Seminars in Pediatric Surgery·Georg SingerHolger Till
Sep 26, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Shunichiro NakaoTakeshi Shimazu

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