Non operative management of renal gunshot wounds.

Selective non-operative management in abdominal gunshot wounds

Introduction: Effects of high velocity bullet in Abdominal wall injuries specially the blast effect on intra abdominal organs needs mandatory explorative laparatomy to manage any major and minor injuries . Usually many explorative laparatomies are negative , but it can be reduced by advanced radiologic techniques such as ultrasonography ,CT – Scan , MRI preoperatively. In patients with negativ...

[Experience of open renal trauma in a urology service].

INTRODUCTION Opened renal trauma in urban areas reaches 15 to 20% of all renal traumas. It is mainly caused by gunshot wounds or knifes. Gunshot wounds are classified as high energy trauma and are usually associated to 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 th...

AB16. Renal trauma: epidemiology, management and the AUA guidelines

The kidney is the most common genitourinary organ injured from external trauma, occurring in 1-5% of all injuries. The vast majority of kidney injuries can be successfully managed nonoperatively. Blunt traumas are more frequent than penetrating. Penetrating trauma is more common in urban areas, is commonly caused by gunshot or stab wounds, and more commonly requires exploration. Blunt trauma re...

Penetrating abdominal injuries: management controversies

Penetrating abdominal injuries have been traditionally managed by routine laparotomy. New understanding of trajectories, potential for organ injury, and correlation with advanced radiographic imaging has allowed a shift towards non-operative management of appropriate cases. Although a selective approach has been established for stab wounds, the management of abdominal gunshot wounds remains a m...

Gunshot wound without entrance hole: where is the trick? – a case report and review of the literaturer

The presence at CT scan of more retained bullets than expected could be a very difficult interpretation challenge in the early management of gunshot wounds. The modern non operative management of haemodinamically stable patients without peritonitis requires that the trajectory of the bullet is clearly recognized. This clinical case reporting of a gunshot wound without evident entry hole, allows...

Abdominal gunshot wounds--current status of selective non-operative management.