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- W3140059374 abstract "J Trauma Acute Care Surg 2013; 74: 230-235. Abstract available at http://jurology.com/ Editorial Comment: Clearly the trend toward nonoperative management of renal injuries is strong and well justified. However, not all patients will do well with this approach. The American Association for the Surgery of Trauma Kidney Injury Scale (now more than 20 years old) has provided valuable yet imperfect guidance. A number of important questions remain unanswered. Which patients are at increased risk for complications? Which patients may bleed to death without intervention? How can CT be used more precisely to stratify the need for intervention? What is the current role for minimally invasive maneuvers such as angioembolization? I have long believed that if the hematoma is as big as the kidney, intervention is warranted. We tested this hypothesis and in 2009 first reported that hematoma size is strongly associated with the need for angioembolization. 1 We proposed the term perirenal rim as a simple objective finding that could be readily measured and analyzed. We noted in 2010 that intravascular contrast extravasation was also strongly associated with the need for angiographic embolization. 2 This analysis of 137 renal trauma cases from Taiwan strongly corroborates our findings and adds further validity to the strategy of using rim distance and contrast extravasation to provide answers to these questions." @default.
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- W3140059374 date "2013-01-01" @default.
- W3140059374 modified "2023-09-27" @default.
- W3140059374 title "Re: Surgical Implantation of Artificial Urinary Device and Penile Prosthesis Through Trans-Scrotal Incision for Postprostatectomy Urinary Incontinence and Erectile Dysfunction: Synchronous or Delayed Procedure?" @default.
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