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Injury of genitourinary organs презентация
Содержание
- 1. Injury of genitourinary organs
- 2. Renal Injury can be closed and open.
- 3. It is possible to divide injuries accompanied
- 4. Types of closed renal trauma: Damage of
- 5. Types of closed renal trauma: Ruptures of
- 6. Types of closed renal trauma: 5.
- 7. Clinical presentions in renal injury consist basically
- 8. The most frequent (in 90% of
- 9. In open renal injury the patient’s condition
- 10. The main method of diagnostics of renal injury is the X-ray examination.
- 11. The most useful investigation is a renal angiogram.
- 12. The ultrasonic investigation of the kidneys, permitting
- 13. Treatment
- 15. Ureteral Injuries
- 16. Ureteral Injuries Diagnostics
- 17. Ureteral Injuries Open ureter injuries
- 18. In wounds of the ureters the following
- 19. In wounds of the
- 20. Complications of ureter injuries may be: their
- 21. Bladder Injury
- 22. Extraperitoneal ruptures
- 23. Intraperitoneal ruptures
- 24. Sympomatology
- 25. Treatment Operations in which the bladder is
- 26. Urethral Injury
- 27. Symptomatology
- 28. Treatment The main complication of urethra injures
- 29. Trauma of the Testicle
- 30. Trauma of the Penis
Renal Injury can be closed and open. In case of the former there is no damage of dermal integuments, in the latter – a percutaneous wound canal is present owing to
Слайд 2Renal Injury
can be closed and open. In case of the former
there is no damage of dermal integuments, in the latter – a percutaneous wound canal is present owing to a gunshot wound or a stab.
Слайд 3It is possible to divide injuries accompanied by lacerations of tissues
of the kidney into
five groups
Слайд 4Types of closed renal trauma:
Damage of fibrous capsule of the kidney
and paranephral fat; the latter may be imbibed with blood.
Parenchyma of the kidney is damaged, but the rupture does not reach the pyelocaliceal system. The urinary infiltration of tissues surrounding the kidney is not present.
Parenchyma of the kidney is damaged, but the rupture does not reach the pyelocaliceal system. The urinary infiltration of tissues surrounding the kidney is not present.
Слайд 5Types of closed renal trauma:
Ruptures of the renal parenchyma reach the
pyelocaliceal system. A profuse hematuria and pararenal urohematoma are observed.
Crushing of the kidney. Serious trauma is accompanied by a considerable bleeding, urinary infiltration of tissues.
Crushing of the kidney. Serious trauma is accompanied by a considerable bleeding, urinary infiltration of tissues.
Слайд 6Types of closed renal trauma:
5. Abruption of the kidney from
its vascular pedicle. Thus, there is an expressed bleeding, that can result in a fatal outcome owing to acute blood loss and shock.
Слайд 7Clinical presentions in renal injury consist basically of pain in the
lumbar area, tumescence, hematuria, and in open renal injuries – a discharge of urine from the wound.
Слайд 9In open renal injury the patient’s condition in most cases is
serious. The signs of renal injury in combined wounds can be not so expressed, since others dominate – peritoneal, hemothorax, etc.
Слайд 12The ultrasonic investigation of the kidneys, permitting to define focal changes
in the affected kidney, as well as the condition of the tissues, surrounding it, is very convenient.
Слайд 18In wounds of the ureters the following methods of operative treatment
are used:
If there is no loss of length and the cut ends of the ureter can be brought together without tension, they should be joined by a spatulated anastomosis over a double pigtail catheter.
If the transection is very low, the bladder wall may be pulled up so that the ureter can be reimplanted into it. An extra length may be obtained by mobilizing the kidney.
Слайд 19 In wounds of the ureters the following methods of
operative treatment are used:
3. The ureter may be implanted in the end-to-side fashion into the contralateral ureter. The disadvantage of transureterostomy is that it risks converting a unilateral injury into a bilateral one.
4. Occasionally, when preservation of all renal tissues is vital, replacement of the damaged ureter by a segment of ileum is necessary.
5. Nephrectomy may be the best way out when the patient’s condition is poor and the other kidney is normal.
Слайд 20Complications of ureter injuries may be:
their strictures
ureterohydronephrosis
chronic pyelonephritis
nephrolithiasis
a nephrogenic arterial hypertension
others
Слайд 25Treatment
Operations in which the bladder is liable to be injured include:
Inguinal
of femoral herniotomy
Hysterectomy by either the abdominal or vaginal route
Excision of the rectum
Hysterectomy by either the abdominal or vaginal route
Excision of the rectum
Слайд 28Treatment
The main complication of urethra injures is its gradual cicatrization, narrowing
and formation of posttraumatic strictures.
