[The surgical treatment of renal trauma].
Over the past 12 years 1363 patients have been evaluated at our institution for renal trauma. Blunt trauma accounted for 1193 patients (88%), stab wounds 106 (8%) and gunshot injuries 64 (4%). Of 127 patients that underwent renal exploration, 6 had bilateral injuries resulting in a total of 133 kidneys that required surgical exploration. Overall, successful repair was achieved in 89% of renal units explored. Nephrectomy was required in 15 cases (11%) but never as a complication of renal exploration. The principles of successful operative management include early vascular control and a variety of surgical techniques. Renal salvage after major trauma can be safely and successfully performed.
McAninch
J W
JW
Dixon
C M
CM
Carroll
P R
PR
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery; D014951:Wounds, Stab / Q000175:diagnosis / Q000601:surgery
Operativnoe lechenie travmy pochki.