The other patients were the two grade V renal injuries The

The other patients were the two grade V renal injuries. The relative renal function was moderately impaired

(between 30-40% in the injured kidney) in 8 patients (25.8%), with 50% of the cases being grade III (4), 25% grade IV with extravasation (2) and 25% grade IV with pedicle injury (2). The relative renal function was normal to mildly impaired (greater than 40% in the injured kidney) in 15 patients (48.4%). Of these cases, 60% had grade III renal trauma (9), 33.3% grade IV with extravasation (5) and one grade IV case with injured pedicle. Figure 1 shows the Fedratinib in vitro functional result of the non-operative treatment of renal trauma through the relative renal function with DMSA expressed as absolute values according to the severity of the trauma. Figure 1 Distribution of the relative renal function expressed as absolute values according to the severity of the renal trauma. The functional results of parenchymal and vascular

causes for buy AZD8186 grades IV and V renal injuries were separately subdivided into: grade IV with extravasation (IV-p), grade IV with pedicle injury (IV-v), grade V with multiple fractures (V-p) and grade V with devascularized kidney (V-v). Figure 2 displays the distribution of the relative renal function expressed as absolute values according to the subdivisions of grade IV and V renal traumas. Figure 2 Distribution of the relative renal function expressed as absolute values according to subdivisions of grade IV and V renal

traumas (IV – p: with extravasation; IV – v: with pedicle injury; V – p: multiple fractures; V – v: with total ischemia). Selleck RSL 3 Statistical analysis of the relative reductions in renal function of the injured side by group was showed in Table 4. The comparison of the relative renal function of the injured side among the patients of the different grades of renal injury showed significant variation (p < 0.01). For mafosfamide having only two values, the injuries of grade V do not allow comparisons. Table 4 Relative reductions in renal function of the injured side by group Comparison among groups Value of p Group III x Group IV p p > 0,05 Group III x Group IV v p < 0,01 Group IV p x Group IV v p < 0,01 All patients the blood pressure records during the hospital stay for renal trauma were normal. The use of ambulatory blood-pressure monitoring allowed the identification of 29% of cases of arterial hypertension (9 patients), only one of which was known to be hypertensive. All of whom were male with average age of 35.6 years (22 to 69 years). The average time between the trauma occurrence and the study was 7.8 years, ranging from 1 year and 4 months up to 13 years and 4 months. The trauma mechanism was blunt in 7 (77.8%) of the cases. In relation to the severity of the renal trauma, 6 (66.7%) had grade III, one showed grade IV with urinary extravasation, one had grade IV with pedicle injury and another presented grade V with multiple fractures of renal parenchyma.

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