Experimental penetrating renal trauma: a comparison of bench and in situ repair.
Penetrating renal trauma often requires total nephrectomy. To minimize this high rate of renal loss, extracorporeal (bench) surgery, already an accepted method for treating renovascular and renal tumor, might be used in patients with parenchymal injuries to provide a more meticulous repair and improved renal function. To compare the effectiveness of this technique with that of in situ repair, 32 dogs were divided into two equal groups. They all received a standardized injury to the renal parenchyma. Contralateral nephrectomy was performed. Renal function was evaluated for 21 days. Serum creatinine values were comparable in the two groups. Bench repair offered excellent results but not better than in situ repair for parenchymal and collecting system injuries.
D000818:Animals; D004285:Dogs; D005069:Evaluation Studies as Topic; D007668:Kidney / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D007677:Kidney Function Tests; D008722:Methods; D009392:Nephrectomy; D011184:Postoperative Period; D012092:Replantation; D013997:Time Factors