PMID: 9632150Jun 19, 1998Paper

Ureteral trauma: preoperative studies neither predict injury nor prevent missed injuries

Journal of the American College of Surgeons
D MedinaD H Livingston

Abstract

Ureteral injuries are uncommon, and the necessity, accuracy, and optimal use of perioperative testing remains unknown. Delays in diagnosis have also been associated with significant morbidity, including loss of renal function. The records of all patients (n = 20) admitted with ureteral injuries to two Level I trauma centers during a 5-year period were reviewed. Data collected included patient demographics, mechanism of injury, degree of associated injuries, and presence of gross or microscopic hematuria. The use of any pre- or intraoperative testing was specifically noted. The location of the ureteral injury was obtained from the operative notes. The morbidity and mortality associated with ureteral injuries in the primarily diagnosed and the delayed groups were assessed. Presenting signs and symptoms, diagnostic testing, and the urologic management of the patients in the delayed group were reviewed. All patients were men whose ages ranged from 15 to 72 years, with a mean age of 29. The mechanisms of injury were gunshot wounds in 15, stab wounds in 4, and blunt vehicular trauma in 1. Excluding other urologic injuries, the incidence of hematuria related to the ureteral injury alone was 53%. A total of 10 pre- and intraoperative s...Continue Reading

References

May 1, 1976·AJR. American Journal of Roentgenology·A J GerlockW H Snyder
Aug 1, 1977·The Journal of Trauma·T C Bright, P C Peters
Aug 1, 1977·Urology·D M McGinty, R Mendez
Sep 11, 1992·Urology·E W CampbellS C Jacobs
Jan 1, 1990·The Journal of Trauma·P E RoberJ M Pierce
Mar 1, 1989·The Journal of Trauma·J C PrestiJ W McAninch
Nov 1, 1981·The Journal of Urology·N E Peterson, J C Pitts
Jun 1, 1994·The Journal of Trauma·S B BrandesP M Hanno
Aug 1, 1996·The Surgical Clinics of North America·M J WallK L Mattox

❮ Previous
Next ❯

Citations

Jul 14, 2007·Der Urologe. Ausg. A·M TrottmannC G Stief
Jun 20, 2000·Current Opinion in Urology·J C Png, C R Chapple
Feb 9, 2008·BMC Urology·Sarah J OrtegaHomer C Tien
Feb 5, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Bruno M T PereiraMark G McKenney
Dec 27, 2005·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Novak MilovićSrdan Kupresanin
Sep 16, 2010·Urology Annals·Ammar Fadil Abid, Hussein Lafta Hashem
Jan 1, 2011·Case Reports in Urology·Jalal Eddine El AmmariM Hassan Farih
Nov 5, 2014·Der Radiologe·J BudjanS Haneder
Jul 26, 2011·Emergency Medicine Clinics of North America·Sanjay Shewakramani, Kevin C Reed
Aug 28, 2007·Journal of Forensic and Legal Medicine·Nursen TuranTansev Boran
Jul 11, 2006·The Urologic Clinics of North America·Jason T Jankowski, J Patrick Spirnak
Nov 7, 2006·The Journal of Urology·Key H Stage
Apr 3, 2010·American Journal of Surgery·Suryanarayana M SiramDavid C Chang
Jul 4, 2001·The Journal of Urology·M R Perez-BrayfieldH S Clarke
Aug 5, 2004·BJU International·Steven BrandesJack McAninch
Dec 8, 2004·European Urology·Thomas H LynchUNKNOWN European Association of Urology
Feb 21, 2006·The Urologic Clinics of North America·Sean P Elliott, Jack W McAninch
May 18, 2017·Nigerian Journal of Clinical Practice·M T GulpinarT Caskurlu
May 10, 2007·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Gustavo P FragaNelson R Netto
Nov 7, 2006·The Journal of Urology·David A KunkleJack H Mydlo
Sep 8, 2010·Nature Reviews. Urology·Richard A Santucci, Jamie M Bartley
Oct 25, 2006·Scandinavian Journal of Urology and Nephrology·Silvia ObenauerMarkus Heuser
Jul 22, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B PhillipsJ A Asensio
Jul 5, 2021·Wilderness & Environmental Medicine·Kyle A CookStephen J Canon
Sep 14, 2001·Emergency Medicine Clinics of North America·D A DreitleinJ Basler

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.