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[Experience in the conservative treatment of renal trauma]

P Rodríguez Iglesias1, A Polo Rodrigo2, A Serrano Durbá2

  • 1Servicio de Cirugía Pediátrica. Hospital Universitari i Politècnic la Fe. Valencia.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 5, 2019
PubMed

Insights

Non-surgical management of renal trauma is safe and effective, even for high-grade injuries. Interventional radiology offers successful treatment for hemodynamic instability or complications in pediatric renal trauma cases.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Trauma Surgery

Background:

  • Renal trauma management is evolving towards conservative approaches.
  • High-grade renal trauma is increasingly managed non-surgically.

Purpose of the Study:

  • To review the presentation, initial management, and outcomes of renal trauma.
  • To evaluate the effectiveness of conservative and interventional treatments for renal trauma.

Main Methods:

  • Retrospective review of 26 renal trauma patients over 10 years.
  • Analysis of epidemiological data, injury mechanisms, and treatment strategies.
  • Evaluation of patient outcomes and complications.

Main Results:

  • Direct blunt trauma was the most common mechanism (42.31%).
  • Grade III renal trauma (AAST) was most frequent (42.31%).
  • Conservative management was successful in 92.30% of cases, with only one requiring secondary surgery.

Conclusions:

  • Non-surgical treatment is a safe and effective primary approach for renal trauma.
  • Interventional radiology is a safe and effective option for managing complications or instability in pediatric renal trauma.
Abstract

Keywords:
Abdominal injuries/diagnosisAcute kidney injuryAngiography/MethodsConservative treatmentInjury Severity ScoreKidney/diagnostic imagingNephrectomyRenal artery/diagnostic

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