Own Experience of Surgical Treatment of Blunt Renal Trauma

Возіанов, С. О.; Сабадаш, М. Е.; Бондаренко, Ю. М.; Shuliak, Andrii

doi:10.21886/2308-6424-2014-0-4-3-12

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Percutaneous nephrolithotomy is more common on the left side, and the lower calyceal puncture is the most frequent puncture site in PCNL, which could explain these findings. More than half of our patients had pseudoaneurysm alone or with other lesions, in agreement with other published series, [7,14,16] where pseudoaneurysm was the most common lesion. A pseudoaneurysm occurs when a blood vessel wall is injured, and extravasating blood collects in the surrounding tissue.…”

Section: Discussionsupporting

confidence: 93%

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Renal arterial embolization: Indications, angiographic findings, and outcomes in a series of 170 patients

Farg¹,

Elawdy²,

Soliman³

et al. 2022

Curr Urol

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Background: The lack of overall experience and reporting on angiographic findings in previously published studies of renal arterial embolization (RAE) compelled us to report our overall experience on a series of patients. Materials and methods: A retrospective study was performed analyzing data of patients enrolled for RAE between 2010 and 2019. History, physical examination, and laboratory data were reviewed for all patients. Abdominal ultrasound was the initial imaging study, and all patients underwent subsequent computed tomography or magnetic resonance imaging. The outcome of RAE was determined based on radiographic and clinical findings. Results: Data from 202 patients were analyzed, with a mean age of 45 ± 15 years, and 71.3% of patients were male. Iatrogenic injury was the most common indication for RAE (54%), followed by renal tumors, trauma, and spontaneous, in 27.7%, 10.4%, and 8.4% of patients, respectively. Renal angiography revealing pseudoaneurysm alone or with other pathology in the lower pole of the kidney was the most common finding (40.6%), whereas no lesions were identified on angiography in 32 patients (15.8%), after which RAE was subsequently aborted. Renal arterial embolization was successful in 158 of 170 patients (92.9%) after 1 or more trials (maximum of 4). Microcoil alone or with other embolic materials was the most commonly used material for embolization (85%). Conclusions: Iatrogenic injury was the most common indication for RAE. Pseudoaneurysm alone or with other lesions was the most common lesion on renal angiography; however, angiography showed a negative result in 16% of patients, even those with symptoms. When lesions are present on angiography, the overall success of repeated trials of RAE reached 92.9%.

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Section: Discussionsupporting

confidence: 93%

“…As reported, there was an overuse of RAE that included many minor renal traumas (grades I–III). Vozianov et al, [ 14 ] in another series that included 20 patients with blunt renal trauma, reported a 90% success rate with RAE on the first attempt and 10% after repeated procedures.…”

Section: Discussionmentioning

confidence: 99%

Renal arterial embolization: Indications, angiographic findings, and outcomes in a series of 170 patients

Farg¹,

Elawdy²,

Soliman³

et al. 2022

Curr Urol

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“…[5,8] Hablando específicamente de la embolización de la arteria renal, en el estudio de Vozianov et al se encontró que un 25% de los pacientes (AAST grado II-IV) presentaron complicaciones pudiendo ser inclusive 2 o más. [19] La complicación más frecuente es el síndrome postembolización en el que el paciente se presenta 1 a 3 días después del procedimiento con un cuadro de dolor en flanco, fiebre, náuseas y vómitos; es un cuadro autolimitado y el tratamiento es de soporte. [16] Otras complicaciones que, aunque raras, pueden ocurrir son: migración del dispositivo espiral endovascular o coil, insuficiencia adrenal, hipertensión transitoria, nefrotoxicidad por contraste, infección con formación de absceso y hematoma del sitio de acceso.…”

Section: Trombosis De Arteria O Vena Renalunclassified

Lesion Renal Contusa

Moreno W.,

Orillac De Obaldía

2023

Rev Méd Cient

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La presente revisión bibliográfica narrativa es sobre el trauma renal contuso y nuestro objetivo es dar a conocer la descripción de factores de riesgo, el mecanismo de lesión, el abordaje diagnóstico, el manejo actualizado y sus complicaciones de manera resumida para la actualización de los lectores. La primera causa de muerte en menores de 45 años es la lesión traumática. El riñón es el tercer órgano más lesionado en el trauma abdominal y el más frecuentemente afectado del sistema genitourinario. Cada día salen un sin número de nuevos estudios de diversas partes del mundo sobre este tipo de lesiones, haciendo casi imposible estar actualizado de manera inmediata. Todo médico debe conocer las generalidades y los nuevos avances que existen para el diagnóstico y manejo de estas lesiones. El abordaje conservador y no quirúrgico han aumentado significativamente en los últimos años y su posibilidad depende de factores como: la estabilidad hemodinámica y las lesiones concomitantes. Lesiones que anteriormente involucraban una lesión con gran destrucción del parénquima pueden ser ahora tratadas por abordajes no quirúrgicos, aumentando así la tasa de preservación de órganos y calidad de vida.

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