- Home
- Editorial
- News
- Practice Guidelines
- Anesthesiology Guidelines
- Cancer Guidelines
- Cardiac Sciences Guidelines
- Critical Care Guidelines
- Dentistry Guidelines
- Dermatology Guidelines
- Diabetes and Endo Guidelines
- Diagnostics Guidelines
- ENT Guidelines
- Featured Practice Guidelines
- Gastroenterology Guidelines
- Geriatrics Guidelines
- Medicine Guidelines
- Nephrology Guidelines
- Neurosciences Guidelines
- Obs and Gynae Guidelines
- Ophthalmology Guidelines
- Orthopaedics Guidelines
- Paediatrics Guidelines
- Psychiatry Guidelines
- Pulmonology Guidelines
- Radiology Guidelines
- Surgery Guidelines
- Urology Guidelines
Is surgery the best option for penetrating kidney trauma?
![Is surgery the best option for penetrating kidney trauma? Is surgery the best option for penetrating kidney trauma?](https://speciality.medicaldialogues.in/wp-content/uploads/2017/06/kidney-transplant-jpg-e1497072970156.jpg)
Conservative, non-surgical management is a feasible option even in cases of a higher grade of kidney injury, according to a study published in the Canadian Journal of Urology.
According to recent studies, sixteen percent of renal (kidney) trauma occurs from a penetrating injury, such as a gunshot wound, stabbing or piercing injury from a car accident, If a patient is bleeding to death from the kidney, surgery can be life-saving. Risks of surgery, however, include potential injury to adjacent organs, loss of the kidney and longer recovery time. Postoperative renal failure is the most common complication for patients who undergo the removal of a kidney, called a nephrectomy, for renal trauma.
Sameer A. Siddiqui and his colleagues conducted a study to explore how non-operative management of these injuries stacks up to operative approaches.
The authors studied the records of 121 renal trauma patients, comparing those who underwent surgery with those who did not, noting their age, gender, mechanism of injury, injury severity and the other injuries.
The researchers concluded that conservative, non-surgical management is a feasible option even in cases of a higher grade of injury.
Read Also: Trimethoprim use in UTI has greater risk of acute kidney injury in elderly : BMJ
Traditionally, patients with penetrating trauma underwent surgery to explore the kidney and repair it," Siddiqui said. "It was common that kidneys had to be removed if the patient underwent surgery.
"The role of a non-surgical approach is emerging as an option and we're seeing that even many high-grade injuries can be managed without surgery, limiting the risks associated with surgery," Siddiqui said. "The main takeaway is that we can safely watch patients with penetrating trauma to the kidney frequently and the patient can avoid the risks of surgery and not risk losing their kidney."
For reference log on to https://www.slu.edu/news/2018/july/penetrating-kidney-trauma.php
Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd