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Kidney and uro-trauma: WSES-AAST guidelines

Federico Coccolini1, Ernest E Moore2, Yoram Kluger3

  • 11General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia, 56124 Pisa, Italy.

World Journal of Emergency Surgery : WJES
|December 13, 2019
PubMed

Insights

This paper presents guidelines for managing renal and urogenital trauma, emphasizing a multidisciplinary approach. It highlights non-operative management as the standard for pediatric patients to restore normal physiology.

Area of Science:

  • Trauma Surgery
  • Urology
  • Emergency Medicine

Background:

  • Renal and urogenital injuries affect 10-20% of abdominal trauma cases in adults and children.
  • Optimal management requires considering injury anatomy, hemodynamic status, and associated injuries.
  • Restoring homeostasis and normal physiology is key, particularly in pediatric cases.

Purpose of the Study:

  • To present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) guidelines for kidney and urogenital trauma.
  • To provide a framework for optimal management of these injuries.

Main Methods:

  • Guidelines development based on expert consensus and existing literature.
  • Multidisciplinary approach involving urologists, interventional radiologists, trauma surgeons, and critical care physicians.
  • Consideration of patient factors including age and hemodynamic stability.

Main Results:

  • Guidelines address the comprehensive management of renal and urogenital trauma.
  • Emphasis on tailored treatment strategies based on injury severity and patient condition.
  • Non-operative management is the gold standard for pediatric urogenital trauma.

Conclusions:

  • Effective management of renal and urogenital trauma necessitates a multidisciplinary, evidence-based approach.
  • Adherence to WSES/AAST guidelines can optimize patient outcomes.
  • Restoration of normal function, especially in pediatric populations, is a primary goal.

Keywords:
AdultBladderClassificationConservativeEmbolizationEndovascular trauma managementFlow chartGuidelinesKidneyNon-operativeOperativePediatricStentingSurgeryTraumaUreterUrethraUrogenitalUrological

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