Stab wounds associated with hematuria: A review of 67 cases

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dc.contributor.authorHeyns C.F.
dc.contributor.authorDe Klerk D.P.
dc.contributor.authorDe Kock M.L.S.
dc.date.accessioned2011-05-15T16:17:16Z
dc.date.available2011-05-15T16:17:16Z
dc.date.issued1983
dc.description.abstractThe clinical records of 67 patients who underwent surgical exploration for stab wounds associated with hematuria were reviewed in an attempt to evaluate the need for mandatory operation and to define criteria for possible nonoperative management of such cases. Minor renal injuries without associated intra-abdominal lacerations were found in 61% of the patients. Delayed renal hemorrhage occurred in 15% of the patients despite early exploration, suture and drainage of the kidney, and antibiotic prophylaxis. Of 7 nephrectomies 5 were performed for secondary hemorrhage. Postoperative pulmonary complications arose in 28% of the patients. A policy of mandatory operation on all patients with stab wounds and hematuria led to apparently needless surgery in 61% of the patients in this series. Retrospective analysis revealed that the rate of probably unnecessary operations could have been reduced to 24% by selecting for operation only those patients with signs of severe hemorrhage, associated intra-abdominal injury or major extravasation of contrast material on excretory urography.
dc.description.versionArticle
dc.identifier.citationJournal of Urology
dc.identifier.citation130
dc.identifier.citation2
dc.identifier.issn00225347
dc.identifier.urihttp://hdl.handle.net/10019.1/14145
dc.subjectdiagnosis
dc.subjecthematuria
dc.subjecthuman
dc.subjectinjury
dc.subjectkidney
dc.subjectkidney hemorrhage
dc.subjectkidney injury
dc.subjectlung complication
dc.subjectmajor clinical study
dc.subjectnephrectomy
dc.subjectrespiratory system
dc.subjectstab wound
dc.subjecttherapy
dc.subjecturinary tract
dc.subjecturography
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBladder
dc.subjectDrainage
dc.subjectFemale
dc.subjectHematuria
dc.subjectHuman
dc.subjectKidney
dc.subjectMale
dc.subjectMiddle Age
dc.subjectNephrectomy
dc.subjectRetrospective Studies
dc.subjectUreter
dc.subjectWounds, Stab
dc.titleStab wounds associated with hematuria: A review of 67 cases
dc.typeArticle
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