2012
DOI: 10.1111/j.1464-410x.2011.10901.x
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Management of severe blunt renal trauma in adult patients: a 10‐year retrospective review from an emergency hospital

Abstract: Study Type – Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Immediate surgery for major renal trauma has led to a high rate of nephrectomy in comparison with an expectant management. We reviewed our case material on the management of severe blunt renal trauma in adults with emphasis on conservative management. Only shattered kidneys and pedicle avulsion required immediate surgery. OBJECTIVE To review retrospectively the management of major blunt renal truma… Show more

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Cited by 51 publications
(59 citation statements)
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“…There were seven grade V injury patients, of whom one underwent emergency nephrectomy. Ureteropelvic junction avulsion and laceration of the renal pelvis require surgical repair [15]. Urine leakage can be managed with stent placement for four to six weeks [16].…”
Section: Discussionmentioning
confidence: 99%
“…There were seven grade V injury patients, of whom one underwent emergency nephrectomy. Ureteropelvic junction avulsion and laceration of the renal pelvis require surgical repair [15]. Urine leakage can be managed with stent placement for four to six weeks [16].…”
Section: Discussionmentioning
confidence: 99%
“…This is an observational prospective study conducted in Hospital João XXIII, a Trauma Center situated in Belo Horizonte, Brazil, which estimated population is 5,7 million people. From January to December 2013, there were 27 patients with blunt renal trauma admitted in Hospital João XXIII who met the criteria for NOM.…”
Section: Methodsmentioning
confidence: 99%
“…4,5 Nowadays, NOM is the standard of care for stable patients with blunt renal trauma. 1,3,4,6,7 Besides having high success rate, it has lower costs and lower hospital length of stay (LOS) if compared to surgical approach.…”
Section: Introductionmentioning
confidence: 99%
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“…Despite an absent standardized protocol to determine when to intervene in the setting of active renal bleeding, whenever the patient is stable enough to undergo imaging, a helical computerized tomography (CT) scan is the best option to stage the trauma 1 .…”
Section: Introduction Introduction Introduction Introduction Introducmentioning
confidence: 99%