PMID: 15345977Sep 4, 2004Paper

Selective operative management of major blunt renal trauma

The Journal of Trauma
Caleb BozemanDennis Venable

Abstract

We reviewed the management and outcomes of patients at our Level I trauma center suffering major blunt renal trauma diagnosed and staged by CT scan. We retrospectively reviewed the cases of 26 patients with blunt trauma at our institution who were initially hemodynamically stable and diagnosed with grade 4 or 5 renal injuries by CT scan. Patients were broken down into two groups based on whether they were managed conservatively or surgically. Patient characteristics and morbidity were analyzed. There were 14 patients managed conservatively and 12 patients managed surgically. There was no statistically significant difference in morbidity between the two groups. The only statistically significant predictor of failure of conservative management was a coexisting solid organ intra-abdominal injury. Conservative management of major blunt renal trauma is appropriate in hemodynamically stable patients.

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Citations

Jan 26, 2012·Der Unfallchirurg·S LendemansUNKNOWN German Society of Trauma Surgery (DGU)
Jul 21, 2006·Traffic Injury Prevention·Kai-Uwe Schmitt, Jess G Snedeker
Apr 14, 2006·The Journal of Trauma·K-U Schmitt, J G Snedeker
Jan 14, 2012·Journal of the Chinese Medical Association : JCMA·Chia-Shen YangMu-Shun Huang
Dec 20, 2011·The Journal of Urology·James M HotalingBryan B Voelzke
Nov 16, 2010·The Journal of Urology·James McGuireNiall M Corcoran
Jul 3, 2008·ANZ Journal of Surgery·Peng YaoDavid L Morris
Dec 27, 2016·Advances in Urology·Allison M MaySameer A Siddiqui
Jun 15, 2016·Khirurgiia·A N Smolyar
Feb 9, 2010·Revista do Colégio Brasileiro de Cirurgiões·Lupércio Faria E SilvaJoão Baptista Rezende Neto
Nov 26, 2009·The American Surgeon·Norma M EdwardsTimothy C Fabian
Dec 18, 2019·Urologia Internationalis·Sherwan KhoschnauHassan Al-Thani

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