Review Article iMedPub Journals Journal of Emergency and Trauma Care 2017 http://www.imedpub.com/ Vol.2 No.2:4 Penetrating Renal Trauma: A Review of Modern Management Phillips B*, Mirzaie M and Turco L Vice Chair of Surgery-Research Creighton University SOM, USA *Corresponding author: Bradley J. Phillips. Vice Chair of Surgery-Research Creighton University SOM, USA, Tel: 402.215.8695; E-mail:
[email protected] Received: July 05, 2017; Accepted: July 21, 2017; Published: July 31, 2017 Citation: Phillips B, Mirzaie M, Turco L (2017) Penetrating Renal Trauma: A Review of Modern Management. J Emerg Trauma Care Vol. 2 No.2:4 patient. A proper diagnosis should be obtained to help objectively grade the injury and guide further Abstract management. Background: To minimize acute kidney injury, trauma Keywords: Penetrating renal trauma; Nephrectomy; Renal surgeons, urologists, and surgical intensivists alike have salvage; Laparotomy; Selective management utilized conservative approaches when managing penetrating renal trauma. As this review of the literature demonstrates, even Grade IV penetrating renal injury with extravasation of contrast can be successfully managed Introduction with conservative therapy. Trauma accounts for more than 120,000 deaths annually Methods: A systematic review of currently published and is the leading cause of death for those aged 1-44 years in studies was performed following standard guidelines. The the United States [1]. Specifically, trauma of the genitourinary search was conducted through PubMed and included tract accounts for 1% to 5% of all patients with abdominal studies published in English that pertained to penetrating injuries [2,3]. Renal injury itself may result from penetrating, renal trauma.