Kidney and uro-trauma: WSES-AAST guidelines

World J Emerg Surg. 2019 Dec 2:14:54. doi: 10.1186/s13017-019-0274-x. eCollection 2019.

Abstract

Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines.

Keywords: Adult; Bladder; Classification; Conservative; Embolization; Endovascular trauma management; Flow chart; Guidelines; Kidney; Non-operative; Operative; Pediatric; Stenting; Surgery; Trauma; Ureter; Urethra; Urogenital; Urological.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / therapy*
  • General Surgery / organization & administration
  • General Surgery / trends
  • Guidelines as Topic*
  • Hemodynamics / physiology
  • Humans
  • Injury Severity Score
  • Kidney / injuries
  • Kidney / surgery
  • Triage / methods
  • Urinary Tract / injuries*