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[Kidney injuries due to skiing]

O Skowvron1, J L Descotes, E Frassinetti

  • 1Service d'Urologie, CHU de Grenoble.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|June 1, 1995
PubMed
Summary
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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2021

Skiing accidents frequently cause renal trauma, particularly in young males. Surgical intervention is common, with partial nephrectomy carrying a high morbidity rate, mainly from fistulas.

Area of Science:

  • Urology
  • Trauma Surgery
  • Nephrology

Context:

  • Retrospective analysis of 78 patients with renal trauma admitted to Grenoble urology department between 1974 and 1993.
  • Identified skiing accidents as a significant cause of renal trauma.
  • Characterized the demographic and injury patterns of patients with renal trauma.

Purpose:

  • To describe the features and management of renal trauma, with a focus on skiing-related injuries.
  • To analyze treatment outcomes, including surgical interventions and associated morbidities.

Summary:

  • The study included 78 patients (91% male, mean age 27.5 years) with renal trauma.
  • 9% of patients presented with Grade III trauma.
  • Surgical treatment was required in 55% of cases, including 21% undergoing total nephrectomy and 25.5% partial nephrectomy.

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  • Partial nephrectomy was associated with a 45% morbidity rate, primarily fistulas.

    • Impact:

    • Highlights the significant morbidity associated with partial nephrectomy for renal trauma.
    • Informs clinical practice regarding the management of renal trauma, especially in young male populations.
    • Emphasizes the need for careful surgical technique and post-operative monitoring to minimize complications such as fistulas.