Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research

BTDMJB. 2006; 2(3): 97-100


Our clinical approach in patients with renal injury

Volkan Tuğcu, Selçuk Şahin, Bedi Özbay, Muzaffer Baş, Serdar Karadağ, Bekir Aras, Ali İhsan Taşçı.

Abstract
Objective: We aimed to evaluate our clinical approach in patients with renal ınjury.
Material and Methods: Eighteen patients who had attended to our clinic with renal trauma between 2002 and 2006 were included in this
study.
Results: Mean age of the patients was 25.6±8.4 years and female/male ratio was 1/17. When etiologic causes were evaluated, 10 patient
had penetrating trauma (8 stab wounds and 2 gunshot wounds) and 8 patients had blunt trauma (4 pedestrian accidents, 2 falls from
height, 1 motor-vehicle accident and 1 fall from bicycle). Abdominal computerized tomography with i.v. contrast was obtained for all
patients prior to hospitalization. According to American Association of Trauma Surgery Organ Injury Scale, 2, 3, 4, 7 and 2 of the patients
had grades 1, 2, 3, 4 and 5 injuries, respectively. All patients with grades 1-3 injuries and 6 patients with grade 4 injury were managed
conservatively. Partial nephrectomy was performed in one patient with grade 4 renal injury and nephrectomy was performed in 2 patients
with grade 5 renal injury. It was observed that renal functions of a patient with grade 4 renal injury, who was managed conservatively,
were progressively decreased.
Conclusion: Patients with grades 1-3, even grade 4 renal injury can recover after conservative management. Conservative management
should be thought at the first hand in hemodynamically stable patients.

Key words: Renal trauma, conservative management, nephrectomy



Article Language: Turkish English



Share this Article


Advertisement
Journal of Contemporary Medical Education

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.