Renal trauma: indications and techniques for surgical exploration

Abstract

Injury secondary to trauma has become increasingly common in modern society. In the United States, in excess of 55 million trauma patients are evaluated each year, and trauma is the leading cause of mortality in people under the age of 40 years. Of the patients with abdominal trauma, approximately 10% have an injury to the urinary tract. Renal injury, occurring in 1-5% of all traumas, is due primarily to blunt trauma. Advances in the imaging and staging of renal trauma as well as in treatment strategies have decreased the need for surgical intervention and increased renal preservation. Nevertheless, no consensus exists regarding indications and techniques for renal exploration. The goals of treatment include accurate staging, maximal preservation of renal function, and minimal complications. We discuss our current approach in the management of renal trauma.

Cycling, and Male Sexual and Urinary Function: Results from a Large, Multinational, Cross-Sectional Study

“…2,3 Renal trauma accounts for approximately 1%-5% of all trauma and approximately 10% of abdominal trauma. 4 Historically, renal injuries were managed by open surgical intervention, often resulting in nephrectomy. 5,6 However, a paradigm shift has occurred in the past few decades, with growing evidence supporting the conservative management of renal injuries in hemodynamically stable patients.…”

Evaluation of urogenital injuries in patients with trauma at the emergency department

“…Tedavinin amacı doğru evreleme, böbrek fonksiyonunun maksimum korunması ve minimal komplikasyondur. [12] Künt böbrek yaralanmalarının birçoğu küçük yaralanmalardır ve genellikle konservatif izlenir, sadece %10 kadarı cerrahi gerektirecek kadar ciddi yaralanmalardır. [13] Ani deselerasyon nedeniyle oluşan böbrek yaralanmaların-da böbrek pedinkül ve üreteropelvik bileşke daha sık etkilendiğinden cerrahi eksplorasyona daha sık gerek duyulur.…”

Experience of renal artery embolization in patients with blunt kidney trauma

“…Renal trauma occurs in approximately 1-5% of all injuries [1]. The kidney is considered to be the most commonly damaged organ of the urinary system with the male to female ratio being 3:1 [2,3,4].…”