TY - JOUR AU - Salcedo, Alexander AU - Ordoñez, Carlos Alberto AU - Parra, Michael W AU - Osorio, José Daniel AU - Guzmán-Rodríguez, Mónica AU - Pino, Luis Fernando AU - Herrera, Mario Alain AU - González-Hadad, Adolfo AU - Serna, José Julian AU - Garcia, Alberto AU - Coccolini, Federico AU - Catena, Fausto PY - 2021/06/06 Y2 - 2024/03/29 TI - Damage control for renal trauma: the more conservative the surgeon, better for the kidney JF - Colombia Medica JA - Colomb Med VL - 52 IS - 2 SE - Reviews DO - 10.25100/cm.v52i2.4682 UR - https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4682 SP - e4094682 AB - <p>Urologic trauma is frequently reported in patients with penetrating trauma. Currently, the computerized tomography and vascular approach through angiography/embolization are the standard approaches for renal trauma. However, the management of renal or urinary tract trauma in a patient with hemodynamic instability and criteria for emergency laparotomy, is a topic of discussion. This article presents the consensus of the Trauma and Emergency Surgery Group (CTE) from Cali, for the management of penetrating renal and urinary tract trauma through damage control surgery. Intrasurgical perirenal hematoma characteristics, such as if it is expanding or actively bleeding, can be a reference for deciding whether a conservative approach with subsequent radiological studies is possible. However, if there is evidence of severe kidney trauma, surgical exploration is mandatory and entails a high probability of requiring a nephrectomy. Urinary tract damage control should be conservative and deferred because this type of trauma does not represent a risk in acute trauma management.</p> ER -