• Rev Col Bras Cir · Jul 2013

    Review

    Update in the classification and treatment of complex renal injuries.

    • Leonardo Oliveira Reis, Fernando J Kim, Ernest E Moore, Elcio Shiyoiti Hirano, Gustavo Pereira Fraga, Barto Nascimento, and Sandro Rizoli.
    • Rev Col Bras Cir. 2013 Jul 1; 40 (4): 347-50.

    AbstractThe "Evidence-Based Telemedicine - Trauma and Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of renal trauma defined as American Association for the Surgery of Trauma (AAST) injury grade III-V. The first paper was the proposal for the AAST grade 4renal injury substratification into grades 4a (Low Risk) and 4b (High Risk). The second paper was a revision of the current AAST renal injury grading system, expanding to include segmental vascular injuries and to establish a more rigorous definition of severe grade IV and V renal injuries.The last article analyses the diagnostic angiography and angioembolization in the acute management of renal trauma using a national data set in the USA. The EBT-TACS Journal Club elaborated conclusions and recommendations for the management of high-grade renal trauma.

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