AI Summary & Key Takeaways
AI InsightIt was concluded that although the chance for organ preservation and vascular reconstructive surgery is lower in penetrating renal injuries, but it is higher for ureter, bladder and minor renal injuries due to blast effect of high velocity missile.
📌 3 Key Takeaways
Abstract
In this study, we evaluated the results of surgical treatment of urinary injury due to penetrating abdominal high velocity missile ( HVM) and the probability of performing organ preserving surgery. 42 military conscripts who were operated for penetrating abdominal injury with HVM were evaluated for age, trauma andvperation interval, trauma score, associated organ injury, mean blood transfusion, morbidity and mortality rates. 3 ( 7.1 %) patients were lost because of hypovolemic shock. Unilateral renal injury was observed in 9 (21.2%) patients while ureteral injuries in 2 (4.7%) and bladder injuries in 1 (2.3%) patients. Nephrectomy was performed on 6 (66.6%) o/Ş renal units while primary repair and reconstruction were performed on 3 (33.3%) and all (100%) ureteral and bladder trauma patients. It was concluded that although the chance for organ preservation and vascular reconstructive surgery is lower in penetrating renal injuries, but it is higher for ureter, bladder and minor renal injuries due to blast effect of high velocity missile.
Özet
Bu çalışmada yüksek hızlı mermi (YHM) ile oluşan batın yaralanmalarında} eşlik eden üriner sistem yaralanmalarına olan yaklaşımlarımız ve organ koruyucu cerrahinin uygulanabilirliği değerlendirildi. YHM ' ye bağlı batın travması nedeniyle öpere edilen 42 olgu yaş, yaralanma vi operasyon arası süre, eşlik eden organ yaralanması, travma skoru, kan transfüzyonu, morbidite ve mortalite yönünden değerlendirildi. 3olgu (%7A) hipovolemik şok nedeniyle kaybedildi. 9 (%21.2) olguda böbrek, 2 (% 4.7) olguda üreter ve 1 (%2.3) olguda mesane yaralanması tesbit edildi. 6(% 66.6) olguya unilateral nefrektomi uygulanırken böbrek yaralanmak 9 olgunun 6 ' sına ( % 33.3 ), üreter ve mesane yaralanmalı olguların ise tümüne (100%) primer onarım ve rekonstrüksüyon uygulandı. YHM ye bağlı penetran böbrek yaralanmalarında organ koruyucu cerrahi ve vasküler rekonstrüktif cerrahi şansının az olduğu üreter, mesane ve blast etkiye bağlı oluşan minör böbrek yaralanmalarında ise bu yöntemlerin daha uygulanabilir olduğu sonucuna varıldı.