L Freton1, B Pradere2, G Fiard3, A Chebbi4, T Caes5, M Hutin6, J Olivier5, M Ruggiero7, I Dominique8, C Millet9, S Bergerat10, P Panayatopoulos11, R Betari12, P-M Patard13, N Szabla14, N Brichart15, L Sabourin9, K Guleryuz14, C Dariane16, C Lebacle7, J Rizk5, A Gryn13, F-X Madec17, X Rod18, F-X Nouhaud4, X Matillon8, B Peyronnet19. 1. Service d'urologie, université de Rennes, 35000 Rennes, France. Electronic address: lucas.freton@gmail.com. 2. Service d'urologie, PRES Centre Val-de-Loire, CHRU de Tours et université François-Rabelais de Tours, 37000 Tours, France. 3. Service d'urologie, université de Grenoble, 38700 Grenoble, France. 4. Service d'urologie, université de Rouen, 76000 Rouen, France. 5. Service d'urologie, université de Lille, 59000 Lille, France. 6. Service d'urologie, université de Montpellier, 34000 Montpellier, France. 7. Service d'urologie, université de Paris Sud, CHU de Bicêtre, 94270 Paris, France. 8. Service d'urologie, université de Lyon, 69002 Lyon, France. 9. Service d'urologie, université de Clermont-Ferrand, 63100 Clermont-Ferrand, France. 10. Service d'urologie, université de Strasbourg, 67000 Strasbourg, France. 11. Service d'urologie, université d'Angers, 49100 Angers, France. 12. Service d'urologie, université de Brest, 29200 Brest, France. 13. Service d'urologie, université de Toulouse, 31300 Toulouse, France. 14. Service d'urologie, université de Caen, 14033 Caen, France. 15. Service d'urologie, CHR d'Orléans, 45100 Orléans, France. 16. Service d'urologie, université de Paris-Descartes, 75006 Paris, France. 17. Service d'urologie, hôpital Saint-Joseph, 75014 Paris, France. 18. Service d'urologie, université de Nantes, 44000 Nantes, France. 19. Service d'urologie, université de Rennes, 35000 Rennes, France.
Abstract
INTRODUCTION: Renal traumas are common, observed in 10% of patients with abdominal trauma. Most renal traumas are blunt, resulting from a direct hit or from an abrupt deceleration. MATERIAL AND METHODS: We realized a synthesis of renal trauma management for nurses. RESULTS: Clinical presentation often encompasses gross hematuria and lumbar pain. The best diagnostic tool is computed tomography (CT) urogram. Based on CT urogram images, renal traumas are classified according to the American Association for the Surgery of Trauma (AAST) classification in five grades of increasing severity. The management is conservative in the vast majority of cases and has been largely simplified over the past few years, being now mostly based on observation. Radiological interventional and endoscopic procedures are used only in very selected cases and surgical exploration has become extremely rare. CONCLUSION: The prognosis has also considerably improved and renal trauma rarely result in death or loss of the kidney nowadays.
INTRODUCTION:Renal traumas are common, observed in 10% of patients with abdominal trauma. Most renal traumas are blunt, resulting from a direct hit or from an abrupt deceleration. MATERIAL AND METHODS: We realized a synthesis of renal trauma management for nurses. RESULTS: Clinical presentation often encompasses gross hematuria and lumbar pain. The best diagnostic tool is computed tomography (CT) urogram. Based on CT urogram images, renal traumas are classified according to the American Association for the Surgery of Trauma (AAST) classification in five grades of increasing severity. The management is conservative in the vast majority of cases and has been largely simplified over the past few years, being now mostly based on observation. Radiological interventional and endoscopic procedures are used only in very selected cases and surgical exploration has become extremely rare. CONCLUSION: The prognosis has also considerably improved and renal trauma rarely result in death or loss of the kidney nowadays.
Authors: Paul Baloche; Nicolas Szabla; Lucas Freton; Marine Hutin; Marina Ruggiero; Ines Dominique; Clementine Millet; Sebastien Bergerat; Paul Panayotopoulos; Reem Betari; Xavier Matillon; Ala Chebbi; Thomas Caes; Pierre-Marie Patard; Nicolas Brichart; Laura Sabourin; Charles Dariane; Michael Baboudjian; Bastien Gondran-Tellier; Cedric Lebacle; François-Xavier Madec; François-Xavier Nouhaud; Xavier Rod; Gaelle Fiard; Benjamin Pradere; Benoit Peyronnet Journal: Eur Urol Open Sci Date: 2022-02-08