Retrospective analysis of 135 renal trauma cases

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dc.contributor.authorSahin, H
dc.contributor.authorAkay, AF
dc.contributor.authorYilmaz, G
dc.contributor.authorTaçyildiz, IH
dc.contributor.authorBircan, MK
dc.date.accessioned2024-04-24T17:11:33Z
dc.date.available2024-04-24T17:11:33Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: We review our trauma cases over the last 11 years and discuss our diagnosis and treatment modalities. Methods: One hundred and thirty-five patients with renal injuries who had been hospitalized in the Urology and General Surgery clinics of Dicle University hospital between 1990 and 2001 were reviewed retrospectively. Patients were evaluated with regard to age, sex, cause of trauma, transport time, diagnostic methods, grade of injuries, associated organ injuries, treatments and complications. Results: One hundred and forty-one renal injuries were established in 135 patients. The patients were between 5 and 65 years old; 114 (84.4%) were male and 21 (15.6%) were female. The most common cause of injuries (99 patients) was penetrating injuries. The transport time to hospital after injury was approximately H 6 min. Immediate laparotomy was performed in 95 hemodynamically unstable patients. Radiological investigations were carried out in the remaining 40 patients. Most of the injuries were grade 4 (28, 19.86%) or 5 (60, 42.55%). Isolated renal injury was established in only 22 of 135 patients. Nephrorrhaphy was performed in 45 of 141 kidneys. Twelve injured kidneys were managed conservatively. Nephrectomy was performed in 66 of 141 kidneys. The remaining injured kidneys were managed with different treatment methods. Twenty-nine (21.48%) patients were lost intraoperatively or during the early postoperative period. Conclusion: We believe that our rates of nephrectomy and mortality were high because of the long transport time, unsuitable transport type, frequent high grade and high rate of associated organ injuries.en_US
dc.identifier.doi10.1111/j.1442-2042.2004.00788.x
dc.identifier.endpage336en_US
dc.identifier.issn0919-8172
dc.identifier.issn1442-2042
dc.identifier.issue5en_US
dc.identifier.pmid15147552
dc.identifier.scopus2-s2.0-2942538091
dc.identifier.scopusqualityQ1
dc.identifier.startpage332en_US
dc.identifier.urihttps://doi.org/10.1111/j.1442-2042.2004.00788.x
dc.identifier.urihttps://hdl.handle.net/11468/17600
dc.identifier.volume11en_US
dc.identifier.wosWOS:000221720700014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInjuryen_US
dc.subjectKidneyen_US
dc.subjectTreatmenten_US
dc.titleRetrospective analysis of 135 renal trauma casesen_US
dc.titleRetrospective analysis of 135 renal trauma cases
dc.typeArticleen_US

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