GUNSHOT WOUNDS TO THE URETER: A 40-YEAR EXPERIENCE AT GRADY MEMORIAL HOSPITAL
| Autor: | David V. Feliciano, Paul Lafontaine, Marcos R. Perez-Brayfield, Thomas E. Keane, Anand Krishnan, Harry S. Clarke |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Urinalysis medicine.diagnostic_test business.industry Incidence (epidemiology) Urology Population Retrospective cohort study medicine.disease Surgery Ureter medicine.anatomical_structure Medicine Gunshot wound business education Survival rate Pyelogram |
| Zdroj: | THE JOURNAL OF UROLOGY. :119-121 |
| ISSN: | 0022-5347 |
| Popis: | Purpose: Because of the morbidity associated with missed ureteral injuries, a high index of suspicion must be present to diagnose this type of injury. We reviewed our 40 years of trauma experience at Grady Memorial Hospital.Materials and Methods: We retrospectively reviewed the records of 118 patients with ureteral injuries secondary to a gunshot wound to the ureter from 1960 to 1999. All cases were reviewed for the mechanism of injury, location, initial urinalysis, imaging modalities, associated injuries, operative procedures and complications.Results: Our population consisted of patients 14 to 71 years old, of whom 66 had right ureteral, 51 had left ureteral and 1 had bilateral injury. Urinalysis revealed no evidence of blood in the urine in 15% of the patients in whom the test was performed. Excretory urography had a false-negative rate of 33%. The injury was located at the proximal, mid and distal ureter in 43, 38 and 37 cases, respectively. Multiple surgical approaches were used depending on the loca... |
| Databáze: | OpenAIRE |
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