Conservative management a safer option in high-grade renal injuries: Our institutional experience

نویسندگان

چکیده

Background: Renal injuries constitute around 1–5% of all trauma associated injuries. In present era, there has been a focus toward conservative management for blunt renal Advancement in radiographic injury grading, improved hemodynamic monitoring systems, valid grading systems allows successful non-operative preservation even cases Grades IV and V. Aims Objectives: The aim our study was to assess outcomes patients managed conservatively (non-operatively) high-grade at center. objective this is whether can be by successfully or not. Materials Methods: conducted retrospective manner using hospital records the past 2 years. Thirty with were included categorized based on American association surgery (2018 revised) grading. These strategies analyzed terms “failure management,” complications, need adjuvant procedures. Statistical data analysis done Microsoft Excel (2019) software. Results: mean age Out total 30 patients, 17 had Grade I–III injuries, 13 IV. All required no adjunctive 10 out underwent management. Complications urinary tract infection (5), persistent hematuria (3), hypertension (1), urinoma (2), ileus (1). complications Clavien Dindo classification grade 1–2. Conclusion: if patient hemodynamically stable.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Conservative management of asymptomatic hepatic hydatid cyst in pregnancy: our experience in seven patients

  Introduction: To present our experience about the safety of conservative management in asymptomatic and non-complicated hepatic hydatid cyst in pregnancy.   Methods: Seven pregnant patients with hepatic hydatid cysts as an incidental finding in routine obstetrical ultrasonography were referred to our center during 2001 to 2008. Three patients were visited in the second and the rest i...

متن کامل

Conservative management of craniovertebral junction injuries: Still a good option

BACKGROUND Injuries to the craniovertebral junction (CVJ) are not uncommon, and are among the few skeletal injuries that carry a high mortality rate. Successful management of these injuries depends on familiarity with the normal anatomic relationships of this region, as well as prudent decision making regarding surgical versus conservative management alternatives. METHODS The purpose of this ...

متن کامل

Successful Nonoperative Management of High-Grade Blunt Renal Injuries

Current management of high-grade blunt renal trauma favors a nonoperative approach when possible. We performed a retrospective study of high grade blunt renal injuries at our level I trauma center to determine the indications and success of nonoperative management (NOM). 47 patients with blunt grade IV or V injuries were identified between October 2004 and December 2013. Immediate operative pat...

متن کامل

A Multi-Institutional Experience in Pediatric High-Grade Glioma

INTRODUCTION Pediatric high-grade gliomas are rare tumors with poor outcomes and incompletely defined management. We conducted a multi-institutional retrospective study to evaluate association of clinical, pathologic, and treatment characteristics with outcomes. MATERIALS AND METHODS Fifty-one patients treated from 1984 to 2008 at the Ohio State University or University of Michigan were inclu...

متن کامل

Emphysematous pyelonephritis: Our experience with conservative management in 14 cases

CONTEXT Emphysematous pyelonephritis (EPN) is a rare, severe, acute, necrotizing infection of the kidney. In this study, we present the clinical details, the management strategies, and the outcome of fourteen patients of EPN managed at our center. MATERIALS AND METHODS A retrospective analysis of the hospital records was done. A total of fourteen patients with EPN were admitted in our hospita...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Asian Journal of Medical Sciences

سال: 2023

ISSN: ['2091-0576']

DOI: https://doi.org/10.3126/ajms.v14i6.51050