K el Khader, A Mhidia, J Ziade, J J Patard, F Guille, B Lobel
{"title":"[III期肾损伤的保守治疗]。","authors":"K el Khader, A Mhidia, J Ziade, J J Patard, F Guille, B Lobel","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to evaluate the safety and effectiveness of conservative management in stage III renal trauma.</p><p><strong>Material and methods: </strong>We reviewed the records of 150 patients who presented in our institution with renal trauma between 1986 and 1995.</p><p><strong>Results: </strong>Minor injuries (stage I and II: 100 cases) were treated with expectant management. Only 3 patients required nephrectomy in this group. Stage III injuries were seen in 40 patients. The great majority (85%) were treated conservatively with renal sparing procedures such as endourologic techniques (14 cases), nephrorraphy or partial nephrectomy (20 cases). Total nephrectomy was performed in 15% of the cases and only for severely injured kidney or major associated intraabdominal injuries. In this group, none of the patients suffered from hypertension at follow-up. All patients (10 cases) with pedicle injury (stage IV) required total nephrectomy.</p><p><strong>Conclusion: </strong>Stage III renal trauma with urinary extravasation can safely be treated conservatively.</p>","PeriodicalId":75424,"journal":{"name":"Acta urologica Belgica","volume":"66 4","pages":"25-8"},"PeriodicalIF":0.0000,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Conservative treatment of stage III kidney injuries].\",\"authors\":\"K el Khader, A Mhidia, J Ziade, J J Patard, F Guille, B Lobel\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The aim of this study is to evaluate the safety and effectiveness of conservative management in stage III renal trauma.</p><p><strong>Material and methods: </strong>We reviewed the records of 150 patients who presented in our institution with renal trauma between 1986 and 1995.</p><p><strong>Results: </strong>Minor injuries (stage I and II: 100 cases) were treated with expectant management. Only 3 patients required nephrectomy in this group. Stage III injuries were seen in 40 patients. The great majority (85%) were treated conservatively with renal sparing procedures such as endourologic techniques (14 cases), nephrorraphy or partial nephrectomy (20 cases). Total nephrectomy was performed in 15% of the cases and only for severely injured kidney or major associated intraabdominal injuries. In this group, none of the patients suffered from hypertension at follow-up. All patients (10 cases) with pedicle injury (stage IV) required total nephrectomy.</p><p><strong>Conclusion: </strong>Stage III renal trauma with urinary extravasation can safely be treated conservatively.</p>\",\"PeriodicalId\":75424,\"journal\":{\"name\":\"Acta urologica Belgica\",\"volume\":\"66 4\",\"pages\":\"25-8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1998-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta urologica Belgica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta urologica Belgica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Conservative treatment of stage III kidney injuries].
Objective: The aim of this study is to evaluate the safety and effectiveness of conservative management in stage III renal trauma.
Material and methods: We reviewed the records of 150 patients who presented in our institution with renal trauma between 1986 and 1995.
Results: Minor injuries (stage I and II: 100 cases) were treated with expectant management. Only 3 patients required nephrectomy in this group. Stage III injuries were seen in 40 patients. The great majority (85%) were treated conservatively with renal sparing procedures such as endourologic techniques (14 cases), nephrorraphy or partial nephrectomy (20 cases). Total nephrectomy was performed in 15% of the cases and only for severely injured kidney or major associated intraabdominal injuries. In this group, none of the patients suffered from hypertension at follow-up. All patients (10 cases) with pedicle injury (stage IV) required total nephrectomy.
Conclusion: Stage III renal trauma with urinary extravasation can safely be treated conservatively.
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