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Urogenital and Retroperitoneal Injuries

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Clinical Review of Vascular Trauma

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Abstract

Renovascular, ureteral, and bladder injuries are rare, and there is insufficient evidence in the literature to draw up robust guidelines regarding management. However, the goal of therapy should be to save the patient’s life through expeditious control of hemorrhage and, as much as possible, to preserve renal function. Retroperitoneal hematomas are relatively common after abdominal and pelvic trauma. Early diagnosis, appropriate resuscitation, and treatment are key in improving survival. Operative approach for massive retroperitoneal bleeding generally requires a wide exposure and direct inspection of the entire compartment. Endovascular management is suitable for many patients and can help avoid major laparotomies and operating deep in the pelvis. A multidisciplinary approach is essential to optimize management of these complex patients.

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Authors and Affiliations

  1. Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, 165 Cambridge Street, Boston, MA, USA

    David R. King MD & John O. Hwabejire MD

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  1. David R. King MD
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  2. John O. Hwabejire MD
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Correspondence to David R. King MD .

Editor information

Editors and Affiliations

  1. Department of Surgery MSB 5.030, Center for Translational Injury Research, Houston, Texas, USA

    Anahita Dua

  2. Department of Surgery, University of Texas-Houston Duke University School of Medicine, Houston, Texas, USA

    Sapan S. Desai

  3. Department of Surgery, University of Texas-Houston, Houston, Texas, USA

    John B. Holcomb

  4. Department of Orthopedics, University of Texas-Houston, Houston, Texas, USA

    Andrew R. Burgess

  5. Department of Surgery, John Hopkins Medical Institutions, Baltimore, Maryland, USA

    Julie Ann Freischlag

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King, D.R., Hwabejire, J.O. (2014). Urogenital and Retroperitoneal Injuries. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_21

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  • DOI: https://doi.org/10.1007/978-3-642-39100-2_21

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