Renal injuries - diagnostic and tretment management in polish urologicai
departments between 1995 and 1999
Article published in Urologia Polska 2002/55/2.
Zygmunt F. Dobrowolski 1, Wojciech Habrat 1, Wac³aw Lipczyński 1, Piotr Jakubik 1, Jacek Kusionowicz 1, Joanna Jakowicka-Wordliczek 2
- 1 Katedra i Klinika Urologii Collegium Medicum UJ w Krakowie Kierownik kliniki: prof, dr hab. Zygmunt F. Dobrowolski
2 Katedra Anestezjologii Collegium Medicum UJ w Krakowie Kierownik katedry: dr hab. Janusz Andres
- Introduction. Kidney injures are frequently part of multiorgan trauma. The aim of the study was retrospective analyses of kidney injuries in order to optimize diagnostic and treatment methods.
- Material and method. The subject of the analyses was the survey for assessment of kidney injures treated in the years 1995-1999 gathered from 61 urological departments.
- Results. 887 kidneys injure cases were analysed. 97% were cases of blunt trauma. Most of the cases were classified as renal contusion and small parenchymal, damages in 687 cases. IVU was performed in 80% of cases and CT only in 20%. Surgery was carried out in 234 patients (26%). Nephrectomy turned to be the most frequent surgical treatment in Poland. It was performed in 170 cases, i. e. 73% of operated patients. Complication ratio occurred in 9% of patients after conservative treatment and in 5% after surgery.
- Conclusion. Blunt kidney injuries occuied in 97,8% of all kidneys injures in Poland. In Poland patients with blunt kidney injuries are often treated surgically, and nephrectomy was found to be the most frequent surgical procedure. CT with intravenous administration of contrast should be considered as a diagnostic method of choice in cases of kidney injury, especially for patients with multiorgan trauma
- 1. Dobrowolski \\\\\\\'L: The mangement of bluiil and penetrating renal trauma in Course European School of Urology during III Urological Galkian Meeting Krakow, November 2000; 33-36.
- 2. Carlton CE, Scott R, Goldman M:The management of penetrating injures of the kidney. J Trauma 1968, 8: 1071.
- 3. Cass AS, Susset J, Khan A, Godcc CJ: Renal pedicle injury in the multiple patient. J Urol 1979; 122: 728.
- 4. Mc Aninch JW, Carroll PR: Renal trauma: kidney preservation through improved vascular control. J Trauma 1982; 22:285.
- 5. Mc Aninch JW, Carroll PR, Klostcrman PW, Dixon CM, Greenblatt MN:Renal reconstruction after injury. J Urol 1991; 145: 932-937.
- 6. Sagalowsky AI, McConnel JD, Peters PC: Renal trauma requiring surgery: an analysis of 185 cases. J Trauma 1983; 23: 128.
- 7. Cass AS, Bubric M, Luxemburg M, Gleich P, Smith C: Renal trauma found during laparotomy for intra-abdominal injures. J Trauma 1985; 25: 997.
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