ArticleColombia medica (Cali, Colombia)2021
Damage Control for renal trauma: the more conservative the surgeon, better for the kidney.
Article in Colombia medica (Cali, Colombia), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 9 citations in OpenAlex.
- Management and Outcomes of Blunt Renal Trauma: A Retrospective Analysis from a High-Volume Urban Emergency Department.Journal of clinical medicine · 2025Article
- Renal embolization for trauma: a narrative review.Journal of trauma and injury · 2024Article
- Trauma resulting in rare avulsion-type renal injury and lobe migration: An uncommon case report.Trauma case reports · 2024Article
- Strategies to prevent blood loss and reduce transfusion in emergency general surgery, WSES-AAST consensus paper.World journal of emergency surgery : WJES · 2024Review
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Authors and funding
15 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Urologic trauma is frequently reported in patients with penetrating trauma. Currently, the computerized tomography and vascular approach through angiography/embolization are the standard approaches for renal trauma. However, the management of renal or urinary tract trauma in a patient with hemodynamic instability and criteria for emergency laparotomy, is a topic of discussion. This article presents the consensus of the Trauma and Emergency Surgery Group (CTE) from Cali, for the management of penetrating renal and urinary tract trauma through damage control surgery. Intrasurgical perirenal hematoma characteristics, such as if it is expanding or actively bleeding, can be reference for deciding whether a conservative approach with subsequent radiological studies is possible. However, if there is evidence of severe kidney trauma, surgical exploration is mandatory and entails a high probability of requiring a nephrectomy. Urinary tract damage control should be conservative and deferred, because this type of trauma does not represent a risk in acute trauma management.
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