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Non-operative versus operative management of penetrating kidney injuries : a prospective audit

To date there is little data on conservative management of penetrating renal trauma. The aim of this study was to review the management and outcome of a large patient cohort presenting with penetrating renal trauma to a tertiary referral centre in South Africa. All patients presenting with penetrating abdominal trauma and haematuria admitted to the Trauma Centre at Groote Schuur Hospital over a 19-month period was prospectively evaluated. Patients demographics, mechanism of injury, microscopic versus macroscopic haematuria, grade of injury, management decision (non-operative, laparotomy for other reasons without renal exploration or true renal surgery with Gerotas fascia opened), nonsurgical success rate, complications, hospital stay, transfusion requirements and nephrectomy rate were analysed.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:uct/oai:localhost:11427/10690
Date January 2011
CreatorsMoolman, Conray
ContributorsBarnes, R D
PublisherUniversity of Cape Town, Faculty of Health Sciences, Division of Urology
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeMaster Thesis, Masters, MMed
Formatapplication/pdf

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