PMID: 19927517Nov 26, 2009Paper

The morbidity of trauma nephrectomy

The American Surgeon
Norma M EdwardsTimothy C Fabian

Abstract

Mortality has been shown to be high in patients after trauma nephrectomy (TN). However, there are little data regarding morbidity in survivors. The objective of this study was to determine the morbidity rates associated with TN with attention directed to renal failure (RF) and formation of intra-abdominal abscess (IAA). Patients who underwent TN over a 9-year period (1996 to 2004) were identified from the trauma registry. Records were reviewed for all complications after TN in patients surviving at least 48 hours. Eighty-nine patients were identified with TN; 61 per cent resulted after penetrating trauma. Overall mortality was 34 per cent. Seventy-one patients survived greater than 48 hours; 51 (72%) experienced at least one morbidity. There was no difference in morbidity rates between patients undergoing blunt trauma and those undergoing penetrating trama. Patients with morbidities were significantly older, more severely injured, and had higher mortality rates and longer hospital courses. Infectious complications were seen in 52 per cent, respiratory in 48 per cent, gastrointestinal in 30 per cent, coagulopathy in 25 per cent, and RF and IAA were each seen in 14 per cent of patients. Patients undergoing TN are severely injured...Continue Reading

References

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Sep 2, 2005·World Journal of Surgery·George C VelmahosGeorge Gkiokas

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Citations

Sep 4, 2012·Journal of Sports Sciences·Christian RaschnerCarson Patterson
Jun 15, 2016·Khirurgiia·A N Smolyar
Aug 27, 2021·Urology·S Mitchell HeinerUNKNOWN in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons

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