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Organo Oficial de la Sociedad Mexicana de Urología

2019, Número 2

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Rev Mex Urol 2019; 79 (2)


Factibilidad del manejo conservador en el trauma vesical penetrante

Jurado PA, García-Perdomo HA

Idioma: Español
Referencias bibliográficas: 31
Paginas: 1-8
Archivo PDF: 198.52 Kb.


RESUMEN

Descripción: El trauma como causa de enfermedad es un problema de salud pública en países en vías de desarrollo. El trauma vesical penetrante ocurre con más frecuencia en adultos jóvenes varones, y es causa de diversas discapacidades. En pocas ocasiones se presenta de forma aislada y, si bien es poco frecuente, su manejo implica un reto debido a que puede ser pasado por alto y aún están definiéndose las pautas del abordaje terapéutico.
Relevancia: El traumatismo vesical penetrante es la causa de complicaciones como sepsis, infecciones y fístulas, que aumentan la morbilidad y la mortalidad en pacientes que generalmente presentan otras lesiones concomitantes.
Conclusiones: Como regla, las heridas vesicales penetrantes de la pared intraperitoneal deben ser reparadas de forma quirúrgica, aunque en un grupo bien seleccionado de pacientes puede realizarse un manejo conservador.


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