Skip to main content

Nierenverletzungen

  • Chapter
Tscherne Unfallchirurgie
  • 68 Accesses

Zusammenfassung

In der Behandlung von Nierentraumen ist in den letzten Jahren zunehmend die Tendenz zur konservativen nichtoperativen Therapie festzustellen. Das mit den Fortschritten in der bildgebenden Diagnostik verbesserte Staging der Nierenverletzung hat die Indikation zur operativen Freilegung und Rekonstruktion der verletzten Niere neu definiert.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Al-Janabi MA, Ahmad R, Kumar KAS, Critchley M (1995) Case report: renal scintigraphy in the diagnosis of urinary extravasation. Br J Radiol 68: 1251–1253

    Article  PubMed  CAS  Google Scholar 

  2. Angus LD, Tachmes L, Kahn S, Gulmi F, Gintautas J, Shaftan GW (1993) Surgical management of pediatric renal trauma: an urban experience. Am Surg 59 (6): 388–394

    PubMed  CAS  Google Scholar 

  3. Atala A, Miller FB, Richardson JD et al. (1991) Preliminary vascular control for renal trauma. Surg Gynecol Obstet 172/5: 386–390

    Google Scholar 

  4. Bandhauer K, Hassler H (1990) Die Verletzung des Urogenitalsystems. Urologe A 29: 234–242

    PubMed  CAS  Google Scholar 

  5. Bass DH, Semple PL, Cywes S (1991) Investigation and management of blunt renal injuries in children: a review of 11 years’ experience. J Pediatr Surg 26/2: 196–200

    Article  Google Scholar 

  6. Baumann L, Greenfield SP, Aker J, Brody A, Karp M, Allen J, Cooney D (1992) Nonoperative management of major blunt renal trauma in children: in-hospital morbidity and longterm followup. J Urol 148 (2 Pt 2): 691–693

    PubMed  CAS  Google Scholar 

  7. Bergren CT, Chan FT, Bodzin JH (1987) Intravenous pyelogram results in association with renal pathology and therapy in trauma patients. J Trauma 27: 515–518

    Article  PubMed  CAS  Google Scholar 

  8. Bertini JE Jr, Flechner SM, Miller P et al.(i986) The natural history of traumatic branch renal artery injury. J Urol 135: 228–230

    Google Scholar 

  9. Bretan PN Jr, McAninch JW, Federle MP et al. (1986) Computerized tomographic staging of renal trauma. J Urol 136: 561–565

    PubMed  Google Scholar 

  10. Bundesministerium für Arbeit und Sozialordnung (1996) Anhaltspunkte für die ärztliche Gutachtertätigkeit im sozialen Entschädigungsrecht und nach dem Schwerbehindertengesetz. Kölln Bonn

    Google Scholar 

  11. Cain MP, Matsumoto JM, Husmann DA (1995) Retrograde filling of the renal vein on computerized tomography for blunt renal trauma: an indicator of renal artery injury. J Urol 153 (4): 1247–1248

    Article  PubMed  CAS  Google Scholar 

  12. Carroll PR, McAninch JW (1985) Operative indication in penetrating renal trauma. J Trauma 25 587–592

    Article  PubMed  CAS  Google Scholar 

  13. Carroll PR, McAninch JW (1989) Staging of renal trauma. Urol Clin North Am 16/2: 193–201

    Google Scholar 

  14. Carroll PR, McAninch JW, Wong A, Wolf JS Jr, Newton C (1994) Outcome after temporary vascular occlusion for the management of renal trauma. J Urol 151 (5): 1171–1173

    PubMed  CAS  Google Scholar 

  15. Cass AS, Luxenberg M (1984) Unilateral non-visualization on excretory urography after external trauma. J Urol 132: 225–227

    PubMed  CAS  Google Scholar 

  16. Cass AS, Luxenberg M, Gleich P et al. (1986) Clinical indications for radiographic evaluation of blunt renal trauma. J Urol 136: 370–371

    PubMed  CAS  Google Scholar 

  17. Cass AS (1989) Renovascular injuries from external trauma. Diagnosis, treatment, and outcome. Urol Clin North Am 16/2: 213–220

    Google Scholar 

  18. Cass AS, Luxenberg M (1989) Conservative or immediate surgical management of blunt renal injuries. J Urol 130: 11–16

    Google Scholar 

  19. Cheng DL, Lazan D, Stone N (1994) Conservative treatment of type III renal trauma. J Trauma 36 (4): 491–494

    Article  PubMed  CAS  Google Scholar 

  20. Committe on Organ Injury Scaling (1990) Abbreviated injury score, Revision. American Association of Automotive Medicin, Des Plaines/IL

    Google Scholar 

  21. Corr P, Hacking G (1991) Embolization in traumatic intrarenal vascular injuries. Clin Radiol 43: 262–264

    Article  PubMed  CAS  Google Scholar 

  22. Eastham JA, Wilson TG, Ahlering TE (1992) Radiographic evaluation of adult patients with blunt renal trauma. J Urol148 (2 Pt 1): 266–267

    PubMed  CAS  Google Scholar 

  23. Eastham JA, Wilson TG, Ahlering TE (1993) Urological evaluation and management of renal-proximity stab wounds. J Urol 150: 1771–1773

    PubMed  CAS  Google Scholar 

  24. Fisher RG, Ben-Menachem Y, Whigham C (1989) Stab wounds of the renal artery branches: angiographic diagnosis and treatment by embolization. Am J Radiol 152: 1231–1235

    CAS  Google Scholar 

  25. Flax S, McLorie G, Churchill BM (1989) A comparative study of intravenous urograms and radionuclide renal scans in diagnosis of renal trauma. Urology 34/1: 62–64

    Article  Google Scholar 

  26. Frick MH, Manilla TO (1965) Renal hypertension caused by retroperitoneal hematoma. Acta Med Scand 178: 529–532

    Article  PubMed  CAS  Google Scholar 

  27. Gibson S, Kuzmarov IW (1982) Blunt renal trauma: The value of a conservative approach. Can J Surg 25: 25–30

    PubMed  CAS  Google Scholar 

  28. Gill B, Palmer LS, Reda E, Franco I, Kogan SJ, Levitt SB (1994) Optimal renal preservation with timely percutaneous intervention: a changing concept in the management of blunt renal trauma in children in the 1990s. Br J Urol 74 (3): 370–374

    Article  PubMed  CAS  Google Scholar 

  29. Glenski WJ, Husmann DA (1995) Nonsurgical mangement of major renal lacerations associated with urinary extravasation (Abstract). J Urol 153: 315 A

    Google Scholar 

  30. Grant RP Jr, Gifford RW Jr, Pudvan WR et al. (1971) Renal trauma and hypertension. Am J Cardiol 27: 173–176

    Article  PubMed  Google Scholar 

  31. Griffin WO, Behn RP, Ernot CD et al. (1978) Intravenous pyelography in abdominal trauma. J Trauma 18: 387–392

    Article  Google Scholar 

  32. Grim CE, Mullins MF, Nilson JP (1975) Unilateral »Page kidney« hypertension in man: studies of the renin-angiotensinaldosterone system before and after nephrectomy. J Am Med Ass 231: 42–45

    Article  Google Scholar 

  33. Hall JW, Factor SM, Cerny JC (1972) Traumatic renal artery aneurysm in a solitary kidney. J Urol 107: 17–21

    PubMed  CAS  Google Scholar 

  34. Husmann DA, Morris JS (1990) Attempted nonoperative management of blunt renal lacerations extending through the corticomedulary junction: The short-term and long-term sequelae. J Urol 143: 682–684

    PubMed  CAS  Google Scholar 

  35. Husmann DA, Gilling PJ, Perry MO, Morris JS, Boone TB (1993) Major renal lacerations with a devitalized fragment following blunt abdominal trauma: a comparison between nonoperative (expectant) versus surgical management. J Urol 150: 1774–1777

    PubMed  CAS  Google Scholar 

  36. Knudson MM, McAninch JW, Gomez R, Lee P, Stubbs HA (1992) Hematuria as a predictor of abdominal injury after blunt trauma. Am J Surg 164 (5): 482–485; discussion 485–486

    Article  PubMed  CAS  Google Scholar 

  37. Koelmeyer TD, Ferguson RS, Nicholls SC (1977) Pararenal pseudocyst. J Trauma 17: 151–154

    Article  PubMed  CAS  Google Scholar 

  38. Kohlberger EG, Strittmatter B, Waninger J (1989) Ultraschalldiagnostik nach stumpfem Abdominaltrauma. Sonographie in der Akut-und Verlaufsdiagnostik. Fortschr Med 107: 244–247

    PubMed  CAS  Google Scholar 

  39. Kram HB, Ocampo HP, Nathan RC, Shoemaker W (1989) Fibrin glue in renal and ureteral trauma. Urology 33/3: 215–218

    Article  Google Scholar 

  40. Lang EK (1975) Arteriography in the assessment of renal trauma: The impact of arteriographic diagnosis on preservation of renal function and parenchyma. J Trauma 15: 553–566

    Article  PubMed  CAS  Google Scholar 

  41. Lent V (1995) Welche Behandlung beim Nierentrauma? Eine kritische Bewertung bisheriger Behandlungsberichte anhand einer neuen Klassifikation. Chirurg 66 (7): 708–714

    PubMed  CAS  Google Scholar 

  42. Lent V (1996) What classification is appropriate in renal trauma? Eur Urol 30 (3): 327–334

    PubMed  CAS  Google Scholar 

  43. Leppäniemi AK, Haapiainen RK, Lehtonen A (1989) Diagnosis and treatment of patients with renal trauma. Br J Urol 64: 13–17

    Article  PubMed  Google Scholar 

  44. Leppaniemi A, Lamminen A, Tervahartiala P, Haapiainen R, Lehtonen T (1995) Comparison of high-field magnetic resonance imaging with computed tomography in the evaluation of blunt renal trauma. J Trauma. 38 (3): 420–427

    Article  PubMed  CAS  Google Scholar 

  45. Levy JB, Baskin LS, Ewalt DH, Zderic SA, Bellah R, Snyder HM, Templeton J, Duckett JW (1993) Nonoperative management of blunt pediatric major renal trauma. Urology. 42 (4): 418–424

    Article  PubMed  CAS  Google Scholar 

  46. Matthews L, Smith E, Spirnak JP (1995) Non-operative management of major blunt renal trauma: does extravasation effect outcome? (Abstract). J Urol 153: 315 A

    Article  Google Scholar 

  47. McAndrew JD, Corriere JN Jr (1994) Radiographic evaluation of renal trauma: evaluation of 1103 consecutive patients. Br J Urol 73 (4): 352–354

    Article  PubMed  CAS  Google Scholar 

  48. McAninch JW, Carroll PR (1989) Renal exploration after trauma. Indications and reconstructive techniques. Urol Clin North Am 16/2: 203–212

    Google Scholar 

  49. McAninch JW, Carroll PR, Klosterman PW et al. (1991) Renal construction after injury. J Urol 145: 932–937

    PubMed  CAS  Google Scholar 

  50. McAninch JW (1993) Renal trauma (editorial; comment). J Urol 150 (6): 1778

    PubMed  CAS  Google Scholar 

  51. McAninch JW, Carroll PR, Armenakas NA, Lee P (1993) Renal gunshot wounds: methods of salvage and reconstruction. J Trauma 35 (2): 279–283

    Article  PubMed  CAS  Google Scholar 

  52. McAninch JW, Carroll PR (1994) Nierentrauma. In: Hohenfellner R, Steinbach F, Stein R (Hrsg) Ausgewählte urologische OP-Techniken. Thieme, Stuttgart New York, 1.79–1.84

    Google Scholar 

  53. McGonigal MD, Lucas CE, Ledgerwood AM (1987) The effect of treatment of renal trauma on renal function. J Trauma 27: 471–476

    Article  PubMed  CAS  Google Scholar 

  54. Mee SL, McAninch JW, Robinson AL et al. (1989) Radiographic assessment of renal trauma: A ten-year prospective study of patient selection. J Urol 141: 1095–1098

    PubMed  CAS  Google Scholar 

  55. Mehta PH, Taguchi Y, Kuzmarov IW (1993) Enhanced intravenous urography in renal trauma with low-dose dopamine. Urology 41 (1): 88–90

    Article  PubMed  CAS  Google Scholar 

  56. Messing E, Kessler R, Kavaney PB (1976) Renal arterio-venous fistulas. Urology 8: 101–107

    Article  PubMed  CAS  Google Scholar 

  57. Miller KS, McAninch JW (1995) Radiographic assessment of renal trauma: our 15-year experience. J Urol 154 (2 Pt 1): 352–355

    Article  PubMed  CAS  Google Scholar 

  58. Moller CM, Mommsen S, Dyreborg U (1995) The role of haematuria in the diagnosis of blunt renal trauma. Scand J Urol Nephrol Suppl 172: 99–101

    PubMed  CAS  Google Scholar 

  59. Monstrey SJM, Werken CV, Debruyne FMJ et al. (1988) Rational guidelines in renal trauma assessment. Urology 31: 468–473

    Article  Google Scholar 

  60. Monstrey SJM, Beerthuizen GIJM, Werken Chr vander et al. (1989) Renal trauma and hypertension. J Trauma 29/1: 65–70

    Article  Google Scholar 

  61. Moore EE, Shackford SR, Pachter HL et al. (1989) Organ injury scaling: spleen, liver, and kidney. J Trauma 29/12: 1664–1666

    Article  Google Scholar 

  62. Morey AF, Bruce JE, McAninch JW (1996) Efficacy of radiographic imaging in pediatric blunt renal trauma. J Urol 156 (6): 2014–2018

    Article  PubMed  CAS  Google Scholar 

  63. Morse TS (1975) Renal injuries. Pediatr Clin North Am 22: 379–391

    PubMed  CAS  Google Scholar 

  64. Mounzer AM, McAninch JW, Schmidt RA (1986) Polyglycolic acid mesh in repair of renal injury. Urology 28: 127–130

    Article  PubMed  CAS  Google Scholar 

  65. Nash PA, Bruce JE, McAninch JW (1995) Nephrectomy for traumatic renal injuries. J Urol 153 (3 Pt 1): 609–611

    Article  PubMed  CAS  Google Scholar 

  66. Nudell DM, Morey AF, McAninch JW (1997) Renal trauma: when to wait and when to operate. Curr Opin Urol 7: 138–141

    Article  Google Scholar 

  67. Oberneder R, Zink RA, Müller-Mattheis V, Hofstetter A (1990) Spätfolgen nach Urogenitaltrauma. Urologe A 29: 251–255

    PubMed  CAS  Google Scholar 

  68. Peclet MH, Newman KD, Eichelberger MR, Gotschall CS, Garcia VF, Bowman LM (1993) Thoracic trauma in children; an indicator of increased mortality. J Pediatr Surg 25: 961–966

    Article  Google Scholar 

  69. Peterson NE (1986) Fate of functionless post traumatic renal segment. Urology 27: 237–242

    Article  PubMed  CAS  Google Scholar 

  70. Peterson NE (1989) Complications of renal trauma. Urol Clin North Am 16/2: 221–232

    Google Scholar 

  71. Pollack HM, Wein AJ (1989) Imaging of renal trauma. Radiology 172: 297–308

    PubMed  CAS  Google Scholar 

  72. Quinlan DM, Gearhart JP (1990) Blunt renal trauma in childhood. Features indicating severe injury. Br J Urol 66: 526–531

    Article  PubMed  CAS  Google Scholar 

  73. Rosales A, Arango O, Coronado J, Vesa J, Maristany J, Gelabert A (1992) The use of ultrasonography as the initial diagnostic exploration in blunt renal trauma. Urol Int 48 (2): 134–137

    Article  PubMed  CAS  Google Scholar 

  74. Sarkisian AE, Khondkarian RA, Amirbekian NM et al. (1991) Sonographic screening of mass casualities for abdominal and renal injuries following the 1988 armenian earthquake. J Trauma 31/2: 247–250

    Google Scholar 

  75. Schaner EG, Balow JE, Doppman JL (1977) CT in the diagnosis of subcapsular and perirenal hematoma. AJR Am J Roentgenol 129: 83–88

    PubMed  CAS  Google Scholar 

  76. Schoenenberger A, Mettler D, Roesler H et al. (1985) Surgical repair of the kidney after blunt lesions of intermediate degree using a Vicryl mesh: Experimental study. J Urol 134: 804–808

    PubMed  CAS  Google Scholar 

  77. Sclafani SJA, Becker JA (1985) Interventional radiology in the treatment of retroperitoneal trauma. Urol Radiol 7: 219–230

    Article  PubMed  CAS  Google Scholar 

  78. Sclafani SJA, Goldstein AS, Panetta T et al. (1985) CT diagnosis of renal pedicle injury. Urol Radiol 7: 63–68

    Article  PubMed  CAS  Google Scholar 

  79. Scott RF Jr, Selzman HM (1966) Complications of nephrectomy: Review of 450 patients and a description of a modification of the transperitoneal approach. J Urol 95: 307–312

    PubMed  Google Scholar 

  80. Scott R, Carlton CE, Goldman M (1969) Penetrating injuries of the kidney: An analysis of 181 patients. J Urol 101: 247–253

    PubMed  Google Scholar 

  81. Seruca H, Debock J, Guttman FM (1979) Renal trauma in children. Can J Surg 22: 24–28

    PubMed  CAS  Google Scholar 

  82. Smith EM, Elder JS, Spirnak JP (1993) Major blunt renal trauma in the pediatric population: is a nonoperative approach indicated? J Urol 149 (3): 546–548

    PubMed  CAS  Google Scholar 

  83. Stables DP, Fouche RF, Villiers van Neikerk JP de et al. (1976) Traumatic renal artery occlusion: 21 cases. J Urol 115: 229–233

    PubMed  CAS  Google Scholar 

  84. Stein JP, Kaji DM, Eastham J, Freeman JA, Esrig D, Hardy BE (1994) Blunt renal trauma in the pediatric population: indications for radiographic evaluation. Urology 44 (3): 406–410

    Article  PubMed  CAS  Google Scholar 

  85. Sufrin G (1975) The Page kidney. A correctable form of arterial hypertension. J Urol 113: 450–454

    PubMed  CAS  Google Scholar 

  86. Teigen CL, Venbrux AC, Quinlan DM, Jeffs RD (1992) Late massive hematuria as a complication of conservative management of blunt renal trauma in children. J Urol 147 (5): 1333–1336

    PubMed  CAS  Google Scholar 

  87. Thall EH, Stone NN, Cheng DL, Cohen EL, Fine EM, Leventhal I, Aldoroty RA (1996) Conservative management of penetrating and blunt Type III renal injuries. Br J Urol 77 (4): 512–517

    Article  PubMed  CAS  Google Scholar 

  88. Todd A (1994) Radiological management of renal trauma. Br J Hosp Med 51 (10): 512–515

    PubMed  CAS  Google Scholar 

  89. Triller J, Ackermann D (1994) Katheterembolisation renaler Blutungen benigner Ätiologie. Radiologe 34 (1): 39–45

    PubMed  CAS  Google Scholar 

  90. Turner WH, Zingg EJ (1994) The diagnosis and management of blunt renal injuries. Curr Opin Urol 4: 143–147

    Article  Google Scholar 

  91. Wessells H, McAninch JW (1996) Effect of colon injury on the management of simultaneous renal trauma. J Urol 155 (6): 1852–1856

    Article  PubMed  CAS  Google Scholar 

  92. Wessells H, McAninch JW (1996) Update on upper urinary tract trauma. AUA Update Series XV: 110–115

    Google Scholar 

  93. Wessels H, McAninch JW, Meyer A, Bruce J (1997) Criteria for nonoperative treatment of significant penetrating renal lacerations. J Urol 157: 24–27

    Article  Google Scholar 

  94. Wolfman NT, Bechtold RE, Scharling ES, Meredith JW (1992) Blunt upper abdominal trauma: evaluation by CT. AJR Am J Roentgenol 158 (3): 493–501

    PubMed  CAS  Google Scholar 

  95. Wrigley J, Williams R, Kloppedal E et al. (1975) Renovascular hypertension secondary to traumatic occlusion by supplemental renal artery. Urology 5: 103–105

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Thon, W.F., Jonas, U. (2000). Nierenverletzungen. In: Trentz, O. (eds) Tscherne Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56941-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-56941-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63282-5

  • Online ISBN: 978-3-642-56941-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics