OWN EXPERIENCE OF SURGICAL TREATMENT OF BLUNT RENAL TRAUMA
https://doi.org/10.21886/2308-6424-2014-0-4-3-12
Abstract
37 patients with blunt renal trauma were surgery at our clinic between1989 and 2013 yrs. Basing on our own experience as well as generally accepted standards of treatment, we developed a tactic of treatment of this pathology. In daily work we used two classifications: proposed by the American Association for the Surgery of Trauma (AAST) in 1989 and proposed by prof. S.A. Vozianov and prof. A.V. Shulyak in 2003. An analysis of the research was carried out; it demonstrates the efficacy of conservative treatment in patients with blunt renal trauma III-V grades according to AAST classification.
About the Authors
S. A. Vozianov
State Institute of Urology of NAMS of Ukraine, Kiev
Ukraine
Ukraine
M. E. Sabadash
State Institute of Urology of NAMS of Ukraine, Kiev
Ukraine
Ukraine
Y. M. Bondarenko
State Institute of Urology of NAMS of Ukraine, Kiev
Ukraine
Ukraine
A. V. Shulyak
State Institute of Urology of NAMS of Ukraine, Kiev
Ukraine
Ukraine
References
1. Патент РФ №2007139337/14, 23.10.2007 Чиглинцев Александр Юльевич, Чиглинцев Кирилл Александрович. Способ ушивання раны почки // Патент Росии 2352272 C1.
2. Atala A. Preliminary vascular control for renal trauma. / A. Atala, FB Miller, JD Richardson et al. // Surg Gynecol Obstet 1991 May;172(5):386–90.
3. Baverstock R. Severe blunt renal trauma: a 7-yearretrospective review from a provincialtrauma centre./R Baverstock, R Simons, M. McLoughlin //Can J Urol2001;8: 1372–6
4. Carroll PR. Renovascular trauma: riskassessment, surgical management, and outcome./ PR Carroll, JW McAninch, P Klosterman et al. //J Trauma 1990; 30: 547– 54
5. Ersay A. Experience with renalgunshot injuries in a rural setting./A Ersay, Y Akgun.// Urology 1999;54: 972–5
6. Goff CD. Management ofrenal trauma at a rural, level I traumacenter./CD Goff, GR Collin//Am Surg1998; 64: 226
7. Heyns CF.Stab wounds associated with hematuria– a review of 67 cases./CF Heyns,DP de Klerk,ML de Kock. //J Urol 1983;130:228–31
8. Husmann DA. Major renal lacerations with a devitalized fragment following blunt abdominal trauma: a comparison between nonoperative (expectant) versus surgical management./DA Husmann, PJ Gilling, MO Perry et al. //J Urol1993; 150: 1774–7
9. Husmann DA.Attempted nonoperative management of blunt renal lacerations extending through the corticomedullary junction: the shortterm and long-term sequelae. /DA Husmann, JS Morris. // J Urol 1990; 143: 682–4
10. Kansas BT. Incidence and management of penetrating renal trauma in patients with multiorgan injury: extended experience at an inner city trauma center. /BT Kansas, MJ Eddy,JH Mydloet al. // J Urol 2004 Oct;172(4Pt1):1355-60.
11. Knudson MM.Outcome after major renovascularinjuries: a Western trauma associationmulticenter report. /MM Knudson, PB Harrison, DB Hoyt et al. // J Trauma 2000; 49:1116–22
12. Kuan JK. Renal injury mechanisms of motor vehicle collisions: analysis of the crash injury research and engineering network data set./JK Kuan, R Kaufman, JL Wright et al. J Urol 2007 Sep;178(3Pt1):935-40; discussion 940.
13. Madiba TE. Renaltrauma secondary to stab, blunt andfirearm injuries – a 5-year study. /TE Madiba, AA Haffejee,J John. // S Afr JSurg 2002; 40: 5–1012
14. McAninch JW. Renal trauma: kidney preservation through improved vascular control - a refined approach./McAninch JW, Carroll PR. //J Trauma 1982; 22: 285
15. Paparel P. The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. /P Paparel, A N’Diaye, B Laumon, et al. // BJU Int 2006 Feb;97(2):338-41.
16. Qin R. Diagnosis and treatment of renal trauma in 298 patients./R Qin, P Wang, W Qin et al. // Chin J Traumatol 2002 Feb;5(1):21–3.
17. Santucci RA. Validation of the AmericanAssociation for the Surgery of Traumaorgan injury severity scale for the kidney./RA Santucci, JW McAninch,M Safir et al.// J Trauma 2001;50: 195–2009
18. Santucci RA. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. /RA Santucci, H Wessells, G Bartsch et al. // BJU Int 2004 May;93(7):937-54.
19. Scott RF Jr. Complications of nephrectomy: reviewof 450 patients and a description of amodification of the transperitonealapproach. /RF Scott Jr, HM Selzman.// J Urol 1966; 95: 307–12
20. Wessells H.Renalinjury and operative management in theUnited States: results of a populationbased study./ Wessells H, Suh D, Porter JR et al.//J Trauma 2003; 54: 423–30
Review
For citations:
Vozianov S.A., Sabadash M.E., Bondarenko Y.M., Shulyak A.V. OWN EXPERIENCE OF SURGICAL TREATMENT OF BLUNT RENAL TRAUMA. Urology Herald. 2014;(4):3-12. (In Russ.) https://doi.org/10.21886/2308-6424-2014-0-4-3-12
Views:
1167
Email this article 
