The conservative management of renal trauma: A literature review and practical clinical guideline from Australia and New Zealand

BJU International

Volumn 114, Issue S1, 2014, Pages 13-21

  McCombie, Steve P ^a,b   Thyer, Isaac ^b   Corcoran, Niall M ^d   Rowling, Christopher ^c   Dyer, John ^b   Le Roux, Anton ^b   Kuan, Melvyn ^b   Wallace, D Michael A ^b   Hayne, Dickon ^a,b  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b FREMANTLE HOSPITAL   (Australia)

^c SIR CHARLES GAIRDNER HOSPITAL   (Australia)

^d UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Diagnostic imaging; Follow up; Guideline; Non operative management; Renal trauma; Review

Indexed keywords

ANTIBIOTIC AGENT; HEPARIN; LOW MOLECULAR WEIGHT HEPARIN;

ARTERIOVENOUS FISTULA; ARTIFICIAL EMBOLISM; BED REST; BLEEDING; CLINICAL DECISION MAKING; CLINICAL EFFECTIVENESS; COMPRESSION STOCKING; COMPUTER ASSISTED TOMOGRAPHY; CONSERVATIVE TREATMENT; DISEASE SEVERITY; DOPPLER ECHOGRAPHY; DRUG EFFICACY; FALSE ANEURYSM; FOLLOW UP; HIGH RISK PATIENT; HUMAN; HYDRONEPHROSIS; HYPERTENSION; INCIDENCE; KIDNEY INJURY; KIDNEY SCINTISCANNING; MORTALITY; PATIENT MONITORING; PERCUTANEOUS DRAINAGE; PERIRENAL ABSCESS; PHYSICAL ACTIVITY; PRACTICE GUIDELINE; REVIEW; RISK REDUCTION; SYSTEMATIC REVIEW; TREATMENT INDICATION; URETERAL STENTING; URINARY TRACT INFECTION; VENOUS THROMBOEMBOLISM; AUSTRALIA; DOPPLER FLOWMETRY; KIDNEY; NEW ZEALAND; PROCEDURES; WOUNDS, NONPENETRATING;

AUSTRALIA; HUMANS; KIDNEY; NEW ZEALAND; TOMOGRAPHY, X-RAY COMPUTED; ULTRASONOGRAPHY, DOPPLER; WOUNDS, NONPENETRATING;

EID: 84907902548     PISSN: 14644096     EISSN: 1464410X     Source Type: Journal    
DOI: 10.1111/bju.12902     Document Type: Review

References (55)

1. Santucci RA, Fisher MB. The literature increasingly supports expectant (conservative) management of renal trauma - a systematic review. J Trauma 2005; 59: 493-503
2. Al-Qudah HS, Santucci RA. Complications of renal trauma. Urol Clin North Am 2006; 33: 41-53
3. Broghammer JA, Fisher MB, Santucci RA. Conservative management of renal trauma: a review. Urology 2007; 70: 623-9
4. Djakovic N, Plas E, Martínez-Piñeiro L et al. Guidelines on urological trauma. EAU Guidelines, edition presented at the 25th EAU Annual Congress, Barcelona, 2010. Available at: http://www.uroweb.org/gls/pdf/Urological%20Trauma%202010.pdf. Accessed August 2014
5. Santucci RA, Wessells H, Bartsch G et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU Int 2004; 93: 937-54
6. Fraser JD, Aguayo P, Ostlie DJ, St Peter SD. Review of the evidence on the management of blunt renal trauma in pediatric patients. Pediatr Surg Int 2009; 25: 125-32
7. Shoobridge JJ, Bultitude MF, Koukounaras J, Martin KE, Royce PL, Corcoran NM. A 9-year experience of renal injury at an Australian level 1 trauma centre. BJU Int 2013; 112 (Suppl. 2): 53-60
8. Heyns CF. Renal trauma: indications for imaging and surgical exploration. BJU Int 2004; 93: 1165-70
9. Morey AF, Brandes S, Dugi DD 3rd et al. Urotrauma: AUA guideline. J Urol 2014; 192: 327-35. Available at: https://www.auanet.org/education/guidelines/urotrauma.cfm
10. Heyns CF, van Vollenhoven P. Increasing role of angiography and segmental artery embolization in the management of renal stab wounds. J Urol 1992; 147: 1231-4
11. Voelzke BB, McAninch JW. The current management of renal injuries. Am Surg 2008; 74: 667-78
12. Moore EE, Shackford SR, Pachter HL et al. Organ injury scaling: spleen, liver, and kidney. J Trauma 1989; 29: 1664-6
13. Santucci RA, McAninch JW, Safir M, Mario LA, Service S, Segal MR. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma 2001; 50: 195-200
14. McGuire J, Bultitude MF, Davis P, Koukounaras J, Royce PL, Corcoran NM. Predictors of outcome for blunt high grade renal injury treated with conservative intent. J Urol 2011; 185: 187-91
15. Wright JL, Nathens AB, Rivara FP, Wessells H. Renal and extrarenal predictors of nephrectomy from the national trauma data bank. J Urol 2006; 175: 970-5
16. Shariat SF, Trinh QD, Morey AF et al. Development of a highly accurate nomogram for prediction of the need for exploration in patients with renal trauma. J Trauma 2008; 64: 1451-8
17. Shoobridge JJ, Bultitude MF, Koukounaras J, Royce PL, Corcoran NM. Predicting surgical exploration in renal trauma: assessment and modification of an established nomogram. J Trauma Acute Care Surg 2013; 75: 819-23
18. Shariat SF, Jenkins A, Roehrborn CG, Karam JA, Stage KH, Karakiewicz PI. Features and outcomes of patients with grade IV renal injury. BJU Int 2008; 102: 728-33
19. Long JA, Fiard G, Descotes JL et al. High-grade renal injury: non-operative management of urinary extravasation and prediction of long-term outcomes. BJU Int 2013; 111: E249-55
20. Dugi DD 3rd, Morey AF, Gupta A, Nuss GR, Sheu GL, Pruitt JH. American Association for the Surgery of Trauma grade 4 renal injury substratification into grades 4a (low risk) and 4b (high risk). J Urol 2010; 183: 592-7
21. Sheth S, Casalino DD, Remer EM et al. ACR appropriateness criteria® renal trauma. American College of Radiology (ACR), 2012. Available at: http://www.guideline.gov/content.aspx?id=43881. Accessed August 2014
22. Morey AF, McAninch JW, Tiller BK, Duckett CP, Carroll PR. Single shot intraoperative excretory urography for the immediate evaluation of renal trauma. J Urol 1999; 161: 1088-92
23. Riccabona M, Lobo ML, Papadopoulou F et al. ESPR uroradiology task force and ESUR paediatric working group: imaging recommendations in paediatric uroradiology, part IV: minutes of the ESPR uroradiology task force mini-symposium on imaging in childhood renal hypertension and imaging of renal trauma in children. Pediatr Radiol 2011; 41: 939-44
24. Aguayo P, Fraser JD, Sharp S, Holcomb GW 3rd, Ostlie DJ, St Peter SD. Nonoperative management of blunt renal injury: a need for further study. J Pediatr Surg 2010; 45: 1311-4
25. Blankenship JC, Gavant ML, Cox CE, Chauhan RD, Gingrich JR. Importance of delayed imaging for blunt renal trauma. World J Surg 2001; 25: 1561-4
26. Malcolm JB, Derweesh IH, Mehrazin R et al. Nonoperative management of blunt renal trauma: is routine early follow-up imaging necessary? BMC Urol 2008; 8: 11
27. Shirazi M, Sefidbakht S, Jahanabadi Z, Asadolahpour A, Afrasiabi MA. Is early reimaging CT scan necessary in patients with grades III and IV renal trauma under conservative treatment? J Trauma 2010; 68: 9-12
28. Bukur M, Inaba K, Barmparas G et al. Routine follow-up imaging of kidney injuries may not be justified. J Trauma 2011; 70: 1229-33
29. Eeg KR, Khoury AE, Halachmi S et al. Single center experience with application of the ALARA concept to serial imaging studies after blunt renal trauma in children-is ultrasound enough? J Urol 2009; 181: 1834-40
30. Smith-Bindman R, Lipson J, Marcus R et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009; 169: 2078-86
31. Buckley JC, McAninch JW. Pediatric renal injuries: management guidelines from a 25-year experience. J Urol 2004; 172: 687-90
32. Stylianos S. Compliance with evidence-based guidelines in children with isolated spleen or liver injury: a prospective study. J Pediatr Surg 2002; 37: 453-6
33. St Peter SD, Sharp SW, Snyder CL et al. Prospective validation of an abbreviated bedrest protocol in the management of blunt spleen and liver injury in children. J Pediatr Surg 2011; 46: 173-7
34. Holmes JHT, Wiebe DJ, Tataria M et al. The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma 2005; 59: 1309-13
35. Knudson MM, Ikossi DG. Venous thromboembolism after trauma. Curr Opin Crit Care 2004; 10: 539-48
36. Tank ES, Eraklis AJ, Gross RE. Blunt abdominal trauma in infancy and childhood. J Trauma 1968; 8: 439-48
37. Fitzgerald CL, Tran P, Burnell J, Broghammer JA, Santucci R. Instituting a conservative management protocol for pediatric blunt renal trauma: evaluation of a prospectively maintained patient registry. J Urol 2011; 185: 1058-64
38. Broghammer JA, Langenburg SE, Smith SJ, Santucci RA. Pediatric blunt renal trauma: its conservative management and patterns of associated injuries. Urology 2006; 67: 823-7
39. Husmann DA, Gilling PJ, Perry MO, Morris JS, Boone TB. Major renal lacerations with a devitalized fragment following blunt abdominal trauma: a comparison between nonoperative (expectant) versus surgical management. J Urol 1993; 150: 1774-7
40. Dinkel HP, Danuser H, Triller J. Blunt renal trauma: minimally invasive management with microcatheter embolization experience in nine patients. Radiology 2002; 223: 723-30
41. Fallat ME, Casale AJ. Practice patterns of pediatric surgeons caring for stable patients with traumatic solid organ injury. J Trauma 1997; 43: 820-4
42. Margenthaler JA, Weber TR, Keller MS. Blunt renal trauma in children: experience with conservative management at a pediatric trauma center. J Trauma 2002; 52: 928-32
43. Mehall JR, Ennis JS, Saltzman DA et al. Prospective results of a standardized algorithm based on hemodynamic status for managing pediatric solid organ injury. J Am Coll Surg 2001; 193: 347-53
44. Stylianos S. Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg 2000; 35: 164-9
45. Wan J, Corvino TF, Greenfield SP, DiScala C. The incidence of recreational genitourinary and abdominal injuries in the Western New York pediatric population. J Urol 2003; 170: 1525-7
46. Grinsell MM, Butz K, Gurka MJ, Gurka KK, Norwood V. Sport-related kidney injury among high school athletes. Pediatrics 2012; 130: e40-5
47. Psooy K. Sports and the solitary kidney: how to counsel parents. Can J Urol 2006; 13: 3120-6
48. Grinsell MM, Showalter S, Gordon KA, Norwood VF. Single kidney and sports participation: perception versus reality. Pediatrics 2006; 118: 1019-27
49. Aulakh TS, Hayne D, Hinwood D. Delayed presentation of arteriovenous fistula 20 years after blunt renal trauma. Int Urol Nephrol 2007; 39: 713-5
50. Ichigi Y, Takaki N, Nakamura K et al. Significance of hematoma size for evaluating the grade of blunt renal trauma. Int J Urol 1999; 6: 502-8
51. Davis P, Bultitude MF, Koukounaras J, Royce PL, Corcoran NM. Assessing the usefulness of delayed imaging in routine followup for renal trauma. J Urol 2010; 184: 973-7
52. Keller MS, Green MC. Comparison of short- and long-term functional outcome of nonoperatively managed renal injuries in children. J Pediatr Surg 2009; 44: 144-7
53. Moog R, Becmeur F, Dutson E, Chevalier-Kauffmann I, Sauvage P, Brunot B. Functional evaluation by quantitative dimercaptosuccinic acid scintigraphy after kidney trauma in children. J Urol 2003; 169: 641-4
54. Grant RP Jr, Gifford RW Jr, Pudvan WR, Meaney TF, Straffon RA, McCormack LJ. Renal trauma and hypertension. Am J Cardiol 1971; 27: 173-6
55. Watts RA, Hoffbrand BI. Hypertension following renal trauma. J Hum Hypertens 1987; 1: 65-71