Abstract
119 patients with renal trauma documented at laparotomy or by an abnormal excretory urogram were followed up sufficiently to allow assessment of their postinjury course. 41 of these patients had a laparotomy and Gerota's fascia was opened; one fourth had a laparotomy and Gerota's fascia was not opened; and one half had no laparotomy. Gerota's fascia was opened only after vascular control of the renal pedicle was obtained. Nonetheless, the loss of renal tissue in this group was high. 23 of 34 patients (68%) required nephrectomy or partial nephrectomy, indicating the severity of their renal injuries. The loss of renal tissue was low in the two groups in which Gerota's fascia was not opened. Six of 85 patients (7%) developed complications eventually requiring nephrectomy or partial nephrectomy; an additional three patients (4%) demonstrated loss of renal tissue on followup urograms, the loss being minimal in all three cases. The relatively low morbidity in these 85 patients indicates that their original renal injuries were, for the most part, less serious than the injuries in the group in which Gerota's fascia was opened. This low morbidity also indicates that retroperitoneal hematomas in the area of the kidney which are nonexpanding, contained, and nonpulsatile need not be routinely explored.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1045-1052 |
| Number of pages | 8 |
| Journal | Journal of Trauma |
| Volume | 15 |
| Issue number | 12 |
| State | Published - 1975 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Renal trauma and retroperitoneal hematomas : indications for exploration. / Holcroft, James W; Trunkey, D. D.; Minagi, H.; Korobkin, M. T.; Lim, R. C.
In: Journal of Trauma, Vol. 15, No. 12, 1975, p. 1045-1052.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Renal trauma and retroperitoneal hematomas
T2 - indications for exploration
AU - Holcroft, James W
AU - Trunkey, D. D.
AU - Minagi, H.
AU - Korobkin, M. T.
AU - Lim, R. C.
PY - 1975
Y1 - 1975
N2 - 119 patients with renal trauma documented at laparotomy or by an abnormal excretory urogram were followed up sufficiently to allow assessment of their postinjury course. 41 of these patients had a laparotomy and Gerota's fascia was opened; one fourth had a laparotomy and Gerota's fascia was not opened; and one half had no laparotomy. Gerota's fascia was opened only after vascular control of the renal pedicle was obtained. Nonetheless, the loss of renal tissue in this group was high. 23 of 34 patients (68%) required nephrectomy or partial nephrectomy, indicating the severity of their renal injuries. The loss of renal tissue was low in the two groups in which Gerota's fascia was not opened. Six of 85 patients (7%) developed complications eventually requiring nephrectomy or partial nephrectomy; an additional three patients (4%) demonstrated loss of renal tissue on followup urograms, the loss being minimal in all three cases. The relatively low morbidity in these 85 patients indicates that their original renal injuries were, for the most part, less serious than the injuries in the group in which Gerota's fascia was opened. This low morbidity also indicates that retroperitoneal hematomas in the area of the kidney which are nonexpanding, contained, and nonpulsatile need not be routinely explored.
AB - 119 patients with renal trauma documented at laparotomy or by an abnormal excretory urogram were followed up sufficiently to allow assessment of their postinjury course. 41 of these patients had a laparotomy and Gerota's fascia was opened; one fourth had a laparotomy and Gerota's fascia was not opened; and one half had no laparotomy. Gerota's fascia was opened only after vascular control of the renal pedicle was obtained. Nonetheless, the loss of renal tissue in this group was high. 23 of 34 patients (68%) required nephrectomy or partial nephrectomy, indicating the severity of their renal injuries. The loss of renal tissue was low in the two groups in which Gerota's fascia was not opened. Six of 85 patients (7%) developed complications eventually requiring nephrectomy or partial nephrectomy; an additional three patients (4%) demonstrated loss of renal tissue on followup urograms, the loss being minimal in all three cases. The relatively low morbidity in these 85 patients indicates that their original renal injuries were, for the most part, less serious than the injuries in the group in which Gerota's fascia was opened. This low morbidity also indicates that retroperitoneal hematomas in the area of the kidney which are nonexpanding, contained, and nonpulsatile need not be routinely explored.
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UR - http://www.scopus.com/inward/citedby.url?scp=0016647794&partnerID=8YFLogxK
M3 - Article
C2 - 1202236
AN - SCOPUS:0016647794
VL - 15
SP - 1045
EP - 1052
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 12
ER -