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Trauma Image and Procedure > Volume 3(2); 2018 > Article
Trauma Image and Procedure 2018;3(2): 65-67.
DOI: https://doi.org/10.24184/tip.2018.3.2.65    Published online November 30, 2018.
Renorrhaphy Using Pledgeted Sutures for Grade IV Renal Trauma
Dong Hun Kim
Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, Republic of Korea
Correspondence  Dong Hun Kim ,Tel: 82-41-550-7661, Fax: 82-41-550-0039, Email: saint7331@gmail.com
Submitted: October 8, 2018  Accepted after revision: November 1, 2018
Abstract
Although the overall trend is obviously toward less-invasive interventions, patients with low-grade injuries (grades I–III) are overwhelmingly managed conservatively, and those with high-grade injuries are most probably undergoing surgical treatment. Surgical treatment for grade IV renal injury according to the injury scale of the American Association for the Surgery of Trauma with unstable hemodynamics will probably lead to renal salvage than nephrectomy. The success of conservative surgery is based on early vascular control and various reconstructive renorrhaphy techniques. Here, we have described a successful renorrhaphy using pledgeted sutures for grade IV renal laceration after blunt trauma in a 56-year-old male.
Keywords: Renorrhaphy; Kidney; Treatment; Trauma
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