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Successful Nonoperative Management of High-Grade Blunt Renal Injuries
Joint Authors
Siddiqui, Sameer
Darwish, Oussama M.
May, Allison M.
Dang, Brian
Monda, John J.
Adsul, Prajakta
Syed, Johar
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Current management of high-grade blunt renal trauma favors a nonoperative approach when possible.
We performed a retrospective study of high grade blunt renal injuries at our level I trauma center to determine the indications and success of nonoperative management (NOM).
47 patients with blunt grade IV or V injuries were identified between October 2004 and December 2013.
Immediate operative patients (IO) were compared to nonoperatively managed (NOM).
Of the 47 patients, 3 (6.4%) were IO and 44 (95.6%) NOM.
IO patients had a higher heart rate on admission, 133 versus 100 in NOM (P=0.01).
IO patients had a higher rate of injury to the renal vein or artery (100%) compared to NOM group (18%) (P=0.01).
NOM failed in 3 of 44 patients (6.8%).
Two required nonemergent nephrectomy and one required emergent exploration resulting in nephrectomy.
Six NOM patients had kidney-related complications (13.6%).
The renal salvage rate for the entire cohort was 87.2% and 93.2% for NOM.
Nonoperative management for hemodynamically stable patients with high-grade blunt renal trauma is safe with a low risk of complications.
Management decisions should consider hemodynamic status and visualization of active renal bleeding as well as injury grade in determining operative management.
American Psychological Association (APA)
May, Allison M.& Darwish, Oussama M.& Dang, Brian& Monda, John J.& Adsul, Prajakta& Syed, Johar…[et al.]. 2016. Successful Nonoperative Management of High-Grade Blunt Renal Injuries. Advances in Urology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1096740
Modern Language Association (MLA)
May, Allison M.…[et al.]. Successful Nonoperative Management of High-Grade Blunt Renal Injuries. Advances in Urology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1096740
American Medical Association (AMA)
May, Allison M.& Darwish, Oussama M.& Dang, Brian& Monda, John J.& Adsul, Prajakta& Syed, Johar…[et al.]. Successful Nonoperative Management of High-Grade Blunt Renal Injuries. Advances in Urology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1096740
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1096740