Akademik Veri Yönetim Sistemi
24th European Congress of Trauma and Emergency Surgery, Aachen, Almanya, 13 - 15 Nisan 2025, ss.129-130, (Özet Bildiri)
Background: Penetrating abdominal injuries with hemodynamic stability at the time of admission present unique challenges in management. Objective: This study aimed to assess the role of preoperative imaging and selective surgical exploration in patients with penetrating abdominal injuries, particularly focusing on renal trauma. Methods: We retrospectively reviewed five consecutive patients with abdominal gunshot wounds whom were hemodynamically stable at the time of admission. All patients underwent initial computed tomography (CT) imaging, which revealed renal injuries ranging from Grade 2 to 4(Grade 2: 1, Grade3: 2, Grade 4 : 2) and additional organ injuries. Following CT, all patients were taken to surgery to address identified bleeding sources and injuries. Results: Intraoperative findings confirmed renal trauma and injured organs and bleeding from sources other than the kidney. Notably, Zone 2 retroperitoneal hematomas were identified; however, these were not pulsatile nor expanding, leading to the decision not to explore this zone. Other organ injuries were managed accordingly. Consequently, all five kidneys were preserved, avoiding nephrectomy. Conclusion: Preoperative CT imaging and selective surgical exploration proved effective in managing hemodynamically stable patients with penetrating abdominal trauma. Our approach allowed for preservation of renal function and avoided unnecessary exploration of non-expanding retroperitoneal hematomas. This protocol may offer a viable alternative to traditional surgical practices in similar cases.