Naslov
War injuries of the kidney

Autori
Tucak, Antun ; Prlić, Damir

Izvornik
European Urology (0302-2838) 35 (1999), S2;

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, sažetak, znanstveni

Sažetak
Between May 1991 and November 1992, 4425 wounded people were treated at the Clinical Hospital Osijek, croatia. Ahundred and fifteen (2, 6%) had a urogenital injury, 64 (56%) of whom had penetrating kidney injuries. Sixteen (25%)of this were caused by gunshot wounds and 48 (75%) by fragments ofmines, mortalitis or grenades. The majority of the 64 kidney injuries had also associated injuries of some other major organ system, particulary in the abdomen, with only three cases of isoiated kidney injury. In 53 patients (82, 8%) surgical access was by transabdominal incision, in nine (14%) by extraperitoneal flank incisions and in two cases thoracophrenolaparatomy was also performed. Nephrectomy was performed in 16 patients (25%). In 46 (75%) an organsparing procedure was done: kidney sutures in 28 (43, 8%), kidney resection in five (7, 8%) and exploration only in 15 (23, 4%). Intrahospital deaths occurred in 11 (18%), seven in the operating theatre. An evaluation of the 6-month follow-up for 90% of the surviving patients is presented . It seems that the frequency of renal war injuries was lower than usually reported. Associated abdominal injuries justified surgical access by transabdominal incision. The high mortality rate is explained by a large number of associated injuries and by the proximity of the battlefied with resulting rapid transport of patients (average 52 min), what excluded the possibility of separating out the moribund patients. Long-term follow up confirmed the benefits of the conserving surgical approach.

Izvorni jezik
Engleski

POVEZANOST RADA