RENAL TRAUMA AND THE PRESERVATION OF RENAL PARENCHYMA
Authors:
MUDr. Robert Grill 1; doc. MUDr. František Záťura; CSc. 1; doc. MUDr. Michael Urban 1; Prof. ass. Paul Palascak Md 3; Walter Gomez - Orozco Md 3
Published in:
Urol List 2005; 3(1): 14-21
Overview
Authors present classification of renal trauma in the first part of a review article. Further they present conservative treatment procedure of renal traumas, open revision surgery and other procedures which can be used for the treatment of renal trauma. For some treatment procedures there are illustrative case reports of patients from authors' site set forth. Finally authors' opinions on decision making for optimal treatment procedure of renal trauma with regard to maximum possible preservation of the organ and its function are formulated.
KEY WORDS:
renal trauma, conservative treatment, open revision surgery, preservation of renal parenchyma
Sources
1. McAninch JW et al. Traumatic and Reconstructive Urology. Philadelphia: WB Saunders 1996: 95.
2. Dvořáček J. Urologie. Praha: ISV 1998; 2. vol: 653.
3. Hudolin T, Hudolin I. Surgical management of urogenital injuries at a war hospital in Bosnia-Hrzegovina, 1992 to 1995. J Urol 2003; 169(4): 1357-1359.
4. Santucci R, McAninch JW. Grade IV renal injuries: Evaluation, treatment, and outcome. World J Surg 2001; 25(12): 1565-1572.
5. Esho JO, Ireland GW, Cass AS. Renal trauma and preexisting lesions of kidney. Urology 1973; 1(2): 134-135.
6. Sebastia MC et al. Renal trauma in occult ureteropelvic junction obstruction: CT findings. Eur Radiol 1999; 9(4): 611-615.
7. Hall SJ, Carpinito GA. Traumatic rupture of a renal pelvis obstructed at the ureteropelvic junction: case report. J Trauma 1994; 37(5): 850-852.
8. Sacco WJ et al. Effect of preinjury illness on trauma patient survival outcome. J Trauma 1993; 35(4): 538-542; discussion 542-543.
9. Cachecho R, Millham FH, Wedel SK. Management of the trauma patient with pre-existing renal disease. Crit Care Clin 1994; 10(3): 523-536.
10. Prieto Chaparro L et al. Renal injury on a pathological kidney. Incidence, management, and results of treatment. Arch Esp Urol 1992; 45(5): 407-413.
11. Bahloul A et al. Contusions to the pathologic kidney. A retrospective study, apropos of 34 cases. Ann Urol (Paris) 1997; 31(5): 253-258.
12. Giannopoulos A et al. Urogenital lesions diagnosed incidentally during evaluation for blunt renal injuries. Prog Urol 1999; 9(3): 464-469.
13. McAninch JW et al. Traumatic and Reconstructive Urology. Philadelphia: WB Saunders 1996: 95-103.
14. Vasile M et al. Imaging evaluation of renal trauma. Abdominal Imaging 2000; 25(4): 424-430.
15. Moore EE et al. Organ injury scaling: spleen, liver, and kidney. J Trauma 1989; 29(12): 1664-1666.
16. Thomsen TW, Brown DF, Nadel ES. Blunt renal trauma. J Emerg Med 2004; 26(3): 331-337.
17. Walsh PC, Retik AB, Campbell MF. Campbell's Urology. Philadelphia: WB Saunders 1998; 3. vol: 3097.
18. McAninch JW et al. Traumatic and Reconstructive Urology. Philadelphia: WB Saunders 1996: 103.
19. Matthews LA, Smith EM, Spirnak JP. Nonoperative treatment of major blunt renal lacerations with urinary extravasation. J Urol 1997; 157(6): 2056-2058.
20. Moudouni SM et al. Management of major blunt renal lacerations: is a nonoperative approach indicated? Eur Urol 2001; 40(4): 409-414.
21. McAninch JW et al. Renal reconstruction after injury. J Urol 1991; 145(5): 932-937.
22. Armenakas NA, Duckett CP, McAninch JW. Indications for nonoperative management of renal stab wounds. J Urol 1999; 161(3): 768-771.
23. Metro M, McAninch JW. Surgical exploration of the injured kidney: Current indications and techniques. Int Braz J Urol 2003; 29(2): 98-105.
24. Robert M et al. Management of major blunt renal lacerations: surgical or nonoperative approach? Eur Urol 1996; 30(3): 335-339.
25. Nash PA, Bruce JE, McAninch JW. Nephrectomy for traumatic renal injuries. J Urol 1995; 153(3 Pt 1): 609-611.
26. Fernandez Valenzuela V. Approaches and surgical techniques in the treatment of renal artery injuries. An Cir Cardiaca Vasc 2004; 10(1): 56-59.
27. McAninch JW, Dixon CM, Carroll PR. The surgical treatment of renal trauma. Vestn Khir Im I I Grek 1990; 145(11): 64-72.
28. McAninch JW et al. Traumatic and Reconstructive Urology. Philadelphia: WB Saunders 1996: 149-152.
29. Haas CA et al. Use of ureteral stents in the management of major renal trauma with urinary extravasation: Is there a role? J Endourol 1998; 12(6): 545-549.
30. Siddins M et al. Late laparoscopic nephrectomy following renal trauma. ANZ J Surg 2001; 71(10): 618-621.
31. Agramunt LM et al. Embolizacion selectiva en el tratamiento de un traumatismo renal severo. Arch Esp Urol 2003; 56(1): 83-87.
32. Hagiwara A et al. The role of interventional radiology in the management of blunt renal injury: a practical protocol. J Trauma 2001; 51(3): 526-531.
33. Dinkel HP, Danuser H, Triller J. Blunt renal trauma: minimally invasive management with microcatheter embolization experience in nine patients. Radiology 2002; 223(3): 723-730.
34. Heyns CF, Van Vollenhoven P. Increasing role of angiography and segmental artery embolization in the management of renal stab wounds. J Urol 1992; 147(5): 1231-1234.
35. Kawashima A et al. Imaging of renal trauma: a comprehensive review. Radiographics 2001; 21(3): 557-574.
36. Lee JT, White RA. Endovascular management of blunt traumatic renal artery dissection. J Endovasc Ther 2002; 9(3): 354-358.
37. Sairanen J, Isotalo T, Soiva M. Munuaisvaltimon puukotusvamman hoito selektiivisella embolisaatiolla: Treatment of a renal artery stab wound with selective embolization. Duodecim 2001; 117(9): 959-961.
38. Lent V. Clinical classification of renal injuries. Eur J Trauma 2003; 29(4): 193-198.
39. Moudouni SM et al. A conservative approach to major blunt renal lacerations with urinary extravasation and devitalized renal segments. BJU Int 2001; 87(4): 290-294.
40. Hammer C, Santucci R. Effect of an institutional policy of nonoperative treatment of grades I to IV renal injuries. J Urol 2003; 169(5): 1751-1753.
41. Diederichs W, Mutze S. Das Nierentrauma: Ist eine offen operative Therapie noch aktuell? Urologe A 2003; 42(3): 322-327.
42. Toutouzas KG et al. Nonoperative management of blunt renal trauma: a prospective study. Am Surg 2002; 68(12): 1097-1103.
43. Richter ER, Shriver CD. Delayed nephrectomy in grade V renal injury with two interesting anatomic variations. Urology 2001; 58(4): 607.
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Paediatric urologist UrologyArticle was published in
Urological Journal
2005 Issue 1
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