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Titolo:
NEPHRECTOMY FOR TRAUMATIC RENAL INJURIES
Autore:
NASH PA; BRUCE JE; MCANINCH JW;
Indirizzi:
UNIV CALIF SAN FRANCISCO,SCH MED,DEPT UROL,U-575 SAN FRANCISCO CA 94143 UNIV CALIF SAN FRANCISCO,SCH MED,DEPT UROL SAN FRANCISCO CA 94143 SAN FRANCISCO GEN HOSP SAN FRANCISCO CA 00000
Titolo Testata:
The Journal of urology
fascicolo: 3, volume: 153, anno: 1995,
parte:, 1
pagine: 609 - 611
SICI:
0022-5347(1995)153:3<609:NFTRI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGICAL-MANAGEMENT; RENOVASCULAR TRAUMA; VASCULAR CONTROL; PATIENT; KIDNEY;
Keywords:
WOUNDS ACID INJURIES; KIDNEY; NEPHRECTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
P.A. Nash et al., "NEPHRECTOMY FOR TRAUMATIC RENAL INJURIES", The Journal of urology, 153(3), 1995, pp. 609-611

Abstract

During a 16-year period 2,521 patients presented to our institution with renal trauma. Renal exploration was performed in 195 patients (202renal units), with 31 units requiring exploration alone, 145 repair and 26 nephrectomy, yielding an overall nephrectomy rate of 13%. A detailed review of these 26 patients identified them as a unique population: all had major renal injuries, and as a group they demonstrated significantly higher rates of shock, injury severity scores, transfusion requirements and death rates than those in whom exploration with renal salvage was possible. In no case was nephrectomy required as a complication of exploration or attempted repair. In the properly staged patient undergoing surgery for appropriate indications with early vascular control exploration of renal injuries is safe. It is not the exploration that results in the nephrectomy but the injury itself.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 20:54:11