title: Update in the classification and treatment of complex renal injuries.
abstract: The "Evidence-Based Telemedicine - Trauma and Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of renal trauma defined as American Association for the Surgery of Trauma (AAST) injury grade III-V. The first paper was the proposal for the AAST grade 4renal injury substratification into grades 4a (Low Risk) and 4b (High Risk). The second paper was a revision of the current AAST renal injury grading system, expanding to include segmental vascular injuries and to establish a more rigorous definition of severe grade IV and V renal injuries.The last article analyses the diagnostic angiography and angioembolization in the acute management of renal trauma using a national data set in the USA. The EBT-TACS Journal Club elaborated conclusions and recommendations for the management of high-grade renal trauma.
authors.forename: Leonardo Oliveira
authors.initials: LO
authors.lastname: Reis
authors.forename: Fernando J
authors.initials: FJ
authors.lastname: Kim
authors.forename: Ernest E
authors.initials: EE
authors.lastname: Moore
authors.forename: Elcio Shiyoiti
authors.initials: ES
authors.lastname: Hirano
authors.forename: Gustavo Pereira
authors.initials: GP
authors.lastname: Fraga
authors.forename: Barto
authors.initials: B
authors.lastname: Nascimento
authors.forename: Sandro
authors.initials: S
authors.lastname: Rizoli
mesh_terms: D006801:Humans; D007668:Kidney / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000145:classification* / Q000628:therapy*; D014950:Wounds, Penetrating / Q000145:classification* / Q000628:therapy*