Contemporary evaluation and management of renal trauma.
Can J Urol
; 23(2): 8191-7, 2016 Apr.
Article
em En
| MEDLINE
| ID: mdl-27085822
ABSTRACT
INTRODUCTION:
Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of this clinical condition. MATERIALS ANDMETHODS:
A systematic search of PubMed was performed to identify relevant and contemporary articles that referred to the management and evaluation of renal trauma.RESULTS:
Computed tomography remains a mainstay of radiological evaluation in hemodynamically stable patients. There is a growing body of literature showing that conservative, non-operative management of renal trauma is safe, even for Grade IV-V renal injuries. If surgical exploration is planned due to other injuries, a conservative approach to the kidney can often be utilized. Follow up imaging may be warranted in certain circumstances. Urinoma, delayed bleeding, and hypertension are complications that require follow up.CONCLUSION:
Appropriate imaging and conservative approaches are a mainstay of current renal trauma management.
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Base de dados:
MEDLINE
Assunto principal:
Urologia
/
Diagnóstico por Imagem
/
Gerenciamento Clínico
/
Rim
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Can J Urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Estados Unidos