Our clinical approach to renal trauma: Eight years experience

Mithat EKŞİ,Feyzi Arda ATAR,İsmail EVREN,Kamil Gökhan ŞEKER,Emre ŞAM,Volkan TUĞCU

Abstract

Objective: We aimed to evaluate our clinical approach in patients with renal trauma. Material and Methods: Between 2005- 2013, one hundred thirty five patient’s data who presented with renal trauma, were analyzed retrospectively. Results: The mean age was 29.5. When etiologically evaluated %42 of patients had penetrating trauma, %58 patients had blunt trauma and %1 patients had iatrogenic trauma. According to American Association of Trauma Surgery Organ Injury Scale; 11, 13, 26, 35, 13 percent of patients presented with Grade 1-2-3-4-5 injuries respectively. Conservative treatment was performed for 86% of the patients. Conclusion: Conservative managements should be tried without considering the level of trauma especially for hemodynamically stabile patients who presented with renal trauma.

Özet

Amaç: Bu çalışmamızda böbrek yaralanması olan hastalara klinik yaklaşımımızı değerlendirmeyi hedefledik.Gereç ve Yöntem: 2005-2013 yılları arasında renal travma tanısı ile takip edilen 135 hastanın verileri retrospektif olarak değerlendirildi.Bulgular: Yaş ortalaması 29,5 olarak tespit edildi. Etyolojik olarak incelendiğinde %42 hasta penetran, %58 hasta künt ve ting trauma, %58 patients had blunt trauma and %1 hasta iatrojenik yaralanma ile başvurdu. %1 patients had iatrogenic trauma. According to Travmaların AAST Organ Yaralanma Skalası’na göre dağılım yüzdeleri Grade 1-2-3-4-5 yaralanmalar için sırasıyla 11, 13, 26, 35, 13 olarak saptandı. Hastaların %86’sı konservatif olarak tively. Conservative treatment was performed takip edildi.for 86% of the patients. Sonuç: Renal travma ile başvuran özellikle hemodinamik olarak stabil hastalarda organ yaralanma seviyesine bakılmaksızın konservatif tedavi yöntemleri denenmelidir