03 August 2021: Articles
Role of Emergent Nephrectomy for Grade V Blunt Renal Injuries
Unusual clinical course, Challenging differential diagnosis, Management of emergency care
John D. Ehrhardt A , Adel Elkbuli A* , Mark McKenney A , Dessy Boneva ADOI: 10.12659/AJCR.932357
Am J Case Rep 2021; 22:e932357
Table 3. WSES-AAST 2019 considerations for trauma nephrectomy [8].
| Hemodynamically unstable patients and those unresponsive to volume resuscitation have an indication for emergent laparotomy |
| Resuscitative endovascular balloon occlusion of the aorta (REBOA) may be helpful as a temporizing measure before the Operating Room |
| Severe renal vascular disruptions with active, unremitting bleeding are an indication for emergent laparotomy |
| Devascularized kidneys with good hemostasis do not require emergent operation in the absence of other indications for laparotomy |
| Stable patients and responders to volume resuscitation who have operative renal pelvis injuries can undergo delayed surgery in the absence of other indications for laparotomy |
| AAST – American Association for the Surgery of Trauma; REBOA – resuscitative endovascular balloon occlusion of the aorta; WSES – World Society for Emergency Surgery. |