"Blunt kidney trauma"

Routine Urology Consultation and Follow-up After Pediatric Blunt Renal Trauma is Likely Unnecessary. This study examines the outcomes of high-grade renal trauma in pediatric patients and evaluates the intervention rate. In our hospital, we routinely consult urology on all high-grade injuries. We anticipated minimal intervention, casting doubt on the need for routine urology consultation

Pediatric Blunt Renal Trauma This website uses cookies. By continuing you are agreeing to our privacy statement.CloseSkip to main contentEastern Association for the Surgery of TraumaJobsFellowshipsNews & EventsFind a MemberSearchSearchSIGN INEducation & ResourcesCareer DevelopmentResearchDevelopment FundScholarships & AwardsMembershipAbout EASTEducation & ResourcesAnnual Scientific of ReferencesOutcome Measure TypesData Extraction and MethodologyResults for PICO Question 1Results for PICO Question 2Results for PICO Question 3ConclusionReferencePediatric blunt renal trauma practice management guidelinesCollaboration between the Eastern Association for the Surgery of Trauma and the Pediatric Trauma SocietyAuthorsHagedorn, Judith C., MD; Fox, Nicole, MD; Ellison, Jonathan S., MD; Russell, Robert

Pediatric Blunt Renal Trauma Downloadedfrom https://journals.lww.com/jtraumaby SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51Won 05/01/2019Downloadedfrom https://journals.lww.com/jtraumaby SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC /ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51Won 05/01/2019Pediatric blunt renal trauma practice management guidelines:Collaboration between the Eastern Association for the Surgery ofTrauma and the Pediatric Trauma SocietyJudith C. Hagedorn, MD, Nicole Fox, MD, Jonathan S. Ellison, MD, Robert Russell, MD, Cordelie E. Witt, MD,Kristen Zeller, MD, Paula Ferrada, MD,andJohn M. Draus, Jr, MD, Seattle, WashingtonBACKGROUND:Injury to the kidney from

Observation vs. early drainage for grade IV blunt renal trauma: a multicenter study. The aim of this study was to compare observation and early drainage by ureteral stenting in patients with blunt renal trauma and urinary extravasation. A retrospective national multicenter study was performed including all patients admitted for renal trauma at 17 hospitals between 2005 and 2015. Patients of persistent urinary extravasation after grade IV blunt renal trauma. Further randomized controlled prospective trials are needed to confirm these findings.

Validity of routine reimaging of blunt renal trauma managed conservatively. The purpose of this study was to determine the need of repeat follow-up computed tomography imaging in patients with renal trauma.All patients who were admitted in the trauma center of the Military Institute of Medicine with a diagnosis of kidney injury from January 2008 to December 2017 were identified. A retrospective

Management of Paediatric High Grade Blunt Renal Trauma - A 10 Year Single Centre UK Experience. To report the management and outcome of paediatric patients sustaining high-grade blunt renal trauma. Medical records were examined for all American Association for the Surgery of Trauma (AAST) grade III-V blunt renal trauma cases admitted to a paediatric trauma centre from 2005 to 2015. Data

Perinephric hematoma size is independently associated with the need for urologic intervention in multisystem blunt renal trauma. We examined radiographic predictors of intervention for blunt renal trauma independent of AAST-OIS (American Association for the Surgery of Trauma-Organ Injury Scale). A total of 328 patients with blunt renal trauma from October 2004 to December 2014 were identified

The bull's-eye sign: A hallmark radiologic sign of complete ureteropelvic junction disruption after blunt renal trauma

Management of blunt renal trauma in a crossed fused ectopic kidney

Is Delayed Phase CT Imaging Necessary after Blunt Renal Trauma in Children? To characterize the utilization of delayed phase computed tomography (CT) imaging in blunt renal trauma and determine if the omission of delayed phase CT imaging affected clinical outcomes in children. A prospectively collected trauma database was reviewed between 2006 and 2016 to identify patients aged ≤21 years admission, underwent a urologic procedure, or were readmitted did not differ significantly between groups. This study was unable to demonstrate a difference in outcomes between patients who had a CT with delayed imaging and patients who did not. This questions the universal necessity for delayed images after blunt renal trauma. Future prospective studies are necessary to develop pediatric trauma

Retrospective Review of Pediatric Blunt Renal Trauma: A Single Institution's Five Year Experience Children are at higher risk of renal injury from blunt trauma than adults due to a variety of anatomic factors such as decreased perirenal fat, weaker abdominal muscles, and a less ossified thoracic cage. Non-operative management is gaining in popularity for even major injuries, although

Evolving Mechanisms of Injury and Management of Pediatric Blunt Renal Trauma - 20 Years of Experience. To review 20 years of a prospectively maintained trauma database to identify changing trends in mechanisms of renal injury, demographics, and management outcomes. Following the approval from the institutional review board, a prospectively maintained trauma database was reviewed for renal trauma year study period, 5 nephrectomies (1.4%) were required, whereas 10 endoscopic interventions or percutaneous drainage procedures were needed (2.4%). The majority of blunt pediatric renal injuries are low grade and can be managed nonoperatively. Nephrectomy is rarely required but is indicated for hemodynamic instability refractory to resuscitation. Pediatric blunt renal trauma secondary to RMV use

High-grade blunt renal trauma: who should we operate? Predictors of surgery and long-term outcome of conservative management, a prospective monocentric study. The management of major renal trauma has shifted in the last decade in favor of a nonoperative approach. Our level 1 trauma center promotes this approach with the objective of renal function preservation. However, certain situations still require surgery. In this study we analyze predictors of surgery and long-term outcomes after conservative management. From January 2004 to March 2015 we prospectively collected data from all patients admitted to our institution for high grade blunt renal trauma (grades IV and V). Nonoperative management was considered successful when patients did not undergo surgical exploration, regardless

Experience of renal artery embolization in patients with blunt kidney trauma The ren is considered as the most commonly damaged genitourinary organ. In general, blunt kidney traumas (BKT) are mild and can be managed conservatively. We aimed to analyze our own experiences of selective renal artery embolization (RAE) in BKT patients and compare obtained results with other reports. We analyzed the medical and technical outcomes of RAE in 20 patients with grades II-IV blunt kidney traumas. Indications for RAE were blunt kidney trauma combined with a gross hematuria that could not be stopped conservatively. For evaluating the functioning of kidneys we used radioisotope renography. According to the American Association for the Surgery of Trauma classification, grade II blunt kidney injury

Occult Congenital Ureteropelvic Junction Obstruction in Two Adults Presenting with Collecting System Rupture After Blunt Renal Trauma: A Case Report Series We report two adult cases of congenital ureteropelvic junction obstruction detected incidentally in the setting of blunt abdominal trauma. CT images are provided to describe the presentation, while review of the literature and management

Adult Blunt Renal Trauma: Routine Follow-up Imaging Is Excessive. To determine the yield of follow-up imaging in patients sustaining renal trauma at our level-1 trauma center and hence, whether the 2013 European Association of Urology guidelines are clinically applicable. All patients who attended Cork University Hospital with a diagnosis of renal injury from 2000-2012 were identified. Review

Real-time 3-dimensional contrast-enhanced ultrasound in detecting hemorrhage of blunt renal trauma: a rabbit experiment. The objective of this study is to evaluate the diagnostic value of real-time 3-dimensional contrast-enhanced ultrasound in the hemorrhage of blunt renal trauma. Eighteen healthy New Zealand white rabbits were randomly divided into 3 groups. Blunt renal trauma was performed -dimensional contrast-enhanced ultrasound was, the faster the blood pressure decreased. Real-time 3-dimensional contrast-enhanced ultrasound is a promising noninvasive tool for stereoscopically and vividly detecting ongoing hemorrhage of blunt renal trauma in real time.

Computed tomography findings in patients with pediatric blunt renal trauma in whom expectant (nonoperative) management failed. To determine whether the features on a computed tomography (CT) scan can predict the need for urologic intervention in a pediatric blunt renal trauma population initially treated with expectant management. A review of a prospective database of pediatric patients

High Grade Renal Injuries: Application of Parkland Hospital's Predictors of Intervention for Renal Hemorrhage to a Large Series of Patients with Blunt Renal Trauma. Investigators from Parkland Hospital proposed substratification of the AAST (American Association for the Surgery of Trauma) grading scale based on 3 risk factors, including active vascular extravasation, a medial laceration

Management of severe blunt renal trauma in adult patients: a 10-year retrospective review from an emergency hospital. What's known on the subject? and What does the study add? Immediate surgery for major renal truma has led to a high rate of nephrectomy in comparison with an expectant management. We reviewed our case material on the management of severe blunt renal trauma in adults with emphasis a computed tomography scan to stage the injuries. Renal injuries were graded according to the American Association for the Surgery of Trauma Grading System; grade 4 and 5 injuries were subclassified based on vascular or parenchymal injury. Only 45/221 patients (20%) suffered major blunt renal trauma (21 grade 3, 18 grade 4 and six grade 5); 43% of the patients had associated lesions and 77% had gross