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Two cases of severe renal injury where silo closure was effective Kouichi Kishimoto 1 , Takasi Hatano 1 , Shin Egawa 2 , Ryo Miyake 3 , Kazuyosi Ohasi 3 , Tsutomu Koyama 3 1Department of Urology,Jikei University,Kashiwa Hospital 2Department of Urology,Jikei University School of Medicine 3Department of Emergency Medicine,Jikei University,Kashiwa Hospital Keyword: 腎外傷 , 医療材料 , 閉腹法 pp.1017-1020
Published Date 2010/12/20
DOI https://doi.org/10.11477/mf.1413102172
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An emergency nephrectomy was performed in 2 cases of severe renal injury(renal fragmentation and renal pedicle injury). Primary abdominal closure was judged to be in appropriate because of the presence of a retroperitoneal hematoma and intestinal edema and the use of packing to achieve hemostasis. If the abdomen were nonetheless closed,intra-abdominal pressure would have increased and there would be a considerable risk of abdominal compartment syndrome,producing respiratory,circulatory,and kidney impairment. Silo closure,a means of damage control surgery by which surgery is completed without primary abdominal closure was able to prevent death.


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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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