• Alexander Salcedo, Carlos A Ordoñez, Michael W Parra, José Daniel Osorio, Philip Leib, Yaset Caicedo, Mónica Guzmán-Rodríguez, Natalia Padilla, Luis Fernando Pino, Mario Alain Herrera, Adolfo González Hadad, José Julián Serna, Alberto García, Federico Coccolini, and Fausto Catena.
• Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.
• Colomb Medica. 2021 May 13; 52 (2): e4094682e4094682.

AbstractUrologic trauma is frequently reported in patients with penetrating trauma. Currently, the computerized tomography and vascular approach through angiography/embolization are the standard approaches for renal trauma. However, the management of renal or urinary tract trauma in a patient with hemodynamic instability and criteria for emergency laparotomy, is a topic of discussion. This article presents the consensus of the Trauma and Emergency Surgery Group (CTE) from Cali, for the management of penetrating renal and urinary tract trauma through damage control surgery. Intrasurgical perirenal hematoma characteristics, such as if it is expanding or actively bleeding, can be reference for deciding whether a conservative approach with subsequent radiological studies is possible. However, if there is evidence of severe kidney trauma, surgical exploration is mandatory and entails a high probability of requiring a nephrectomy. Urinary tract damage control should be conservative and deferred, because this type of trauma does not represent a risk in acute trauma management.Copyright © 2021 Colombia Medica.

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