Upper Urinary Tract Trauma: Difference between revisions
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*#Reapproximation of the parenchymal defect | *#Reapproximation of the parenchymal defect | ||
*#Coverage with nearby fascioadipose flaps (Gerota fascia or omentum) if feasible | *#Coverage with nearby fascioadipose flaps (Gerota fascia or omentum) if feasible | ||
*#The open parenchyma should be covered when possible by a pedicle flap of omentum. The rich vascular and lymphatic supply of the omentum promotes wound healing and decreases the risk for delayed bleeding and urinary extravasation. | *#*The open parenchyma should be covered when possible by a pedicle flap of omentum. The rich vascular and lymphatic supply of the omentum promotes wound healing and decreases the risk for delayed bleeding and urinary extravasation. | ||
*#Liberal use of drains | *#Liberal use of drains | ||
*For major renovascular injuries in patients with 2 kidneys, speedy nephrectomy is advocated | *For major renovascular injuries in patients with 2 kidneys, speedy nephrectomy is advocated | ||