[Kidney traumatism in general surgery (65 cases)].
From September 1989 to September 1994, 65 patients, 15 females and 50 males, with a mean age of 32 +/- 14 years were admitted in the emergency unit for renal trauma. In 38.5% of cases multiple trauma was present. Lesional mechanism was most frequently contusions (49.2%) and deceleration injuries (43.1%). Gross hematuria or microscopic hematuria were presents in 72.3% of cases. The sensibility of systematic abdominal echography was 100% in case of perirenal hematoma and 65% in case of parenchymatous lesions. Only 23 patients were operated (35.3%) because of low blood pressure. None secondary operation was necessary in abstention group. Global mortality was 7.7%. Postoperative morbidity was 20% and specific morbidity in abstention group was 10.7%.
Chirurgie Générale et Urgences, Hôpitaux Sud, Marseille.
C
C
Brunet
I
I
Sielezneff
V
V
Voinchet
E
E
Rosset
R
R
Grégoire
X
X
Thirion
S
S
Ugarte
J
J
Farisse
D000062:Accidents, Occupational; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D005260:Female; D005602:France / Q000453:epidemiology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014567:Urography
Traumatismes du rein en chirurgie générale (65 cas).