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The conservative management of renal trauma: a literature review and practical clinical guideline from A ustralia and N ew Z ealand
Author(s) -
McCombie Steve P.,
Thyer Isaac,
Corcoran Niall M.,
Rowling Christopher,
Dyer John,
Le Roux Anton,
Kuan Melvyn,
Wallace D. Michael A.,
Hayne Dickon
Publication year - 2014
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12902
Subject(s) - guideline , conservative management , medicine , renal injury , conservative treatment , intensive care medicine , surgery , general surgery , kidney , pathology
Objective To review the literature and make practical recommendations regarding the conservative management of renal trauma.Patients and Methods Relevant articles and guidelines published between 1980 and 2014 were reviewed. Graded recommendations were constructed by a multi‐disciplinary panel consisting of urologists, radiologists, and infectious disease physicians. These recommendations underwent formal review and debate at the W estern A ustralian USANZ 2013 state conference, and were presented at the USANZ 2014 annual scientific meeting.Results The literature on the conservative management of renal trauma is reviewed within the framework of the American Association for the Surgery of Trauma ( AAST ) kidney injury severity scale. Graded recommendations are made regarding several key topics including: imaging, inpatient management, antibiotics, return to activity, and follow‐up. Grade IV injuries and intraoperative consults are examined separately in view of the difficulties these groups cause in making appropriate treatment decisions.Conclusion A practical clinical guideline is provided regarding the conservative management of renal trauma.