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- W1977452744 abstract "Abstract Introduction Opened renal trauma in urban areas reaches 15–20% of all renal traumas. It is mainly caused by gunshot wounds or knives. Gunshot wounds are classified as high energy trauma and are usually associated with other organ injuries. We present our experience in opened renal trauma in the last 24 months. Material and methods Retrospective study: patients with thoracic, abdominal and thoracoabdominal trauma admitted to the emergency room between July 2009 and June 2011 were studied. Fourteen patients were identified with opened renal trauma, with diagnostic confirmation by imaging study or during surgery. Results Age ranged from 16 to 37 years, with a mean age of 24.5 years. Thirteen patients were male. The mechanism of injury was produced by gunshot in 71% (10/14) and by knife in 29% (4/14). The opened renal traumas were classified according to the American Association for the Surgery of Trauma. Of these, 3/14 (21%) belonged to grade II, 4/14 (29%) to grade III, 4/14 (29%) to grade IV and 3/14 to grade V (21%). Fall in hematocrit ranged from 1% to 27%, with an average of 13.9%. Expectant management was done in six patients, however, this management did not take into account those surgeries performed due to non-urologic organ injuries. Six patients (42%) required nephrectomy. Thoraco-abdominal injuries were associated in 11 patients (79%). Conclusions Despite the low incidence of opened renal trauma, many patients are observed when other national reports are considered, probably due to the socio-cultural characteristics of this hospital." @default.
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- W1977452744 date "2012-10-01" @default.
- W1977452744 modified "2023-09-27" @default.
- W1977452744 title "Experience of open renal trauma in a urology service" @default.
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- W1977452744 doi "https://doi.org/10.1016/j.acuroe.2011.11.010" @default.
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