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ABDOMINAL TRAUMA
 

 

 

Grading

Classified according to the Organ Injury Scaling (OIS) Committee Scale
 

Minor
I
Contusion Microscopic or gross haematuria,  Urological studies normal
Haematoma Subcapsular, nonexapnding without parenchymal laceration.
II
Haematoma Nonexapnding perirenal haematoma confined to renal retroperitoneum.
Laceration <1cm parenchymal depth of renal cortex without urinary extravasation.
Major
III
Laceration >1cm depth of renal cortex, without  collecting system rupture or urinary extravasation
IV
Laceration Parenchymal laceration extending through the renal cortex, medulla and collecting system.
Vascular Main renal artery or vein injury with  contained haemorrhage.
V
Laceration Completely shattered kidney. 
Vascular  Avulsion of renal hilum which devascularizes kidney.

Introduction
Case Presentation
Initial Evaluation
Radiology
Grading
Management
Surgical Technique
Conclusions