Renal trauma requiring surgery: An analysis of 185 cases

Arthur I Sagalowsky, J. D. McConnell, P. C. Peters

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Successful management of patients with renal trauma required definition of the extent of injury and knowledge of the indications for exploration. The 185 consecutive cases of renal trauma requiring surgery at Parkland Memorial Hospital between 1976 and 1980 are reviewed. Injury was due to penetrating trauma in 85% of cases, and blunt trauma in 15%. The most common associated injuries following penetrating trauma were to liver, small bowel, stomach, and colon; splenic injury was more common in blunt trauma. Renal pedicle injuries in 26 patients (14%) had an operative mortability of 12% compared to 5.4% for the entire group. Renal salvage occurred in 85, 70, and 64% of stab wounds, gunshots, and blunt trauma, respectively. The importance of prompt and accurate radiographic assessment of injury with aggressive use of renal arteriography is stressed.

Original languageEnglish (US)
Pages (from-to)128-131
Number of pages4
JournalJournal of Trauma
Volume23
Issue number2
StatePublished - 1983

Fingerprint

Kidney
Wounds and Injuries
Stab Wounds
Stomach
Angiography
Colon
Liver

ASJC Scopus subject areas

  • Surgery

Cite this

Sagalowsky, A. I., McConnell, J. D., & Peters, P. C. (1983). Renal trauma requiring surgery: An analysis of 185 cases. Journal of Trauma, 23(2), 128-131.

Renal trauma requiring surgery : An analysis of 185 cases. / Sagalowsky, Arthur I; McConnell, J. D.; Peters, P. C.

In: Journal of Trauma, Vol. 23, No. 2, 1983, p. 128-131.

Research output: Contribution to journalArticle

Sagalowsky, AI, McConnell, JD & Peters, PC 1983, 'Renal trauma requiring surgery: An analysis of 185 cases', Journal of Trauma, vol. 23, no. 2, pp. 128-131.
Sagalowsky, Arthur I ; McConnell, J. D. ; Peters, P. C. / Renal trauma requiring surgery : An analysis of 185 cases. In: Journal of Trauma. 1983 ; Vol. 23, No. 2. pp. 128-131.
@article{f232f99d09b442f4b89c820f107d6b08,
title = "Renal trauma requiring surgery: An analysis of 185 cases",
abstract = "Successful management of patients with renal trauma required definition of the extent of injury and knowledge of the indications for exploration. The 185 consecutive cases of renal trauma requiring surgery at Parkland Memorial Hospital between 1976 and 1980 are reviewed. Injury was due to penetrating trauma in 85{\%} of cases, and blunt trauma in 15{\%}. The most common associated injuries following penetrating trauma were to liver, small bowel, stomach, and colon; splenic injury was more common in blunt trauma. Renal pedicle injuries in 26 patients (14{\%}) had an operative mortability of 12{\%} compared to 5.4{\%} for the entire group. Renal salvage occurred in 85, 70, and 64{\%} of stab wounds, gunshots, and blunt trauma, respectively. The importance of prompt and accurate radiographic assessment of injury with aggressive use of renal arteriography is stressed.",
author = "Sagalowsky, {Arthur I} and McConnell, {J. D.} and Peters, {P. C.}",
year = "1983",
language = "English (US)",
volume = "23",
pages = "128--131",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Renal trauma requiring surgery

T2 - An analysis of 185 cases

AU - Sagalowsky, Arthur I

AU - McConnell, J. D.

AU - Peters, P. C.

PY - 1983

Y1 - 1983

N2 - Successful management of patients with renal trauma required definition of the extent of injury and knowledge of the indications for exploration. The 185 consecutive cases of renal trauma requiring surgery at Parkland Memorial Hospital between 1976 and 1980 are reviewed. Injury was due to penetrating trauma in 85% of cases, and blunt trauma in 15%. The most common associated injuries following penetrating trauma were to liver, small bowel, stomach, and colon; splenic injury was more common in blunt trauma. Renal pedicle injuries in 26 patients (14%) had an operative mortability of 12% compared to 5.4% for the entire group. Renal salvage occurred in 85, 70, and 64% of stab wounds, gunshots, and blunt trauma, respectively. The importance of prompt and accurate radiographic assessment of injury with aggressive use of renal arteriography is stressed.

AB - Successful management of patients with renal trauma required definition of the extent of injury and knowledge of the indications for exploration. The 185 consecutive cases of renal trauma requiring surgery at Parkland Memorial Hospital between 1976 and 1980 are reviewed. Injury was due to penetrating trauma in 85% of cases, and blunt trauma in 15%. The most common associated injuries following penetrating trauma were to liver, small bowel, stomach, and colon; splenic injury was more common in blunt trauma. Renal pedicle injuries in 26 patients (14%) had an operative mortability of 12% compared to 5.4% for the entire group. Renal salvage occurred in 85, 70, and 64% of stab wounds, gunshots, and blunt trauma, respectively. The importance of prompt and accurate radiographic assessment of injury with aggressive use of renal arteriography is stressed.

UR - http://www.scopus.com/inward/record.url?scp=0020627820&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020627820&partnerID=8YFLogxK

M3 - Article

C2 - 6827631

AN - SCOPUS:0020627820

VL - 23

SP - 128

EP - 131

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 2

ER -