Atualização da classificação e tratamento das lesões renais complexas

Abstract

The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of renal trauma. Our focus was on high-grade renal injuries, defined as AAST injury grades III-V. The first paper was the propose substratification of the AAST grade IV renal injury into grades IVa (Low Risk) and IVb (High Risk). The second paper was a revision of the current AAST renal injury grading system, expanding to include segmental vascular injuries and ureteral pelvic injuries and to establish a more rigorous definition of severe grade IV and V renal injuries. The last article analyses the diagnostic angiography and angioembolization in the acute management of renal trauma using a national data set in the USA. The EBT-TACS Journal Club elaborated conclusions and recommendations for the management of high-grade renal trauma.