Approach and Management of Traumatic Retroperitoneal Injuries

Cir Esp (Engl Ed). 2018 May;96(5):250-259. doi: 10.1016/j.ciresp.2018.02.021. Epub 2018 Apr 12.
[Article in English, Spanish]

Abstract

Traumatic retroperitoneal injuries constitute a challenge for trauma surgeons. They usually occur in the context of a trauma patient with multiple associated injuries, in whom invasive procedures have an important role in the diagnosis of these injuries. The retroperitoneum is the anatomical region with the highest mortality rates, therefore early diagnosis and treatment of these lesions acquire special relevance. The aim of this study is to present current published scientific evidence regarding incidence, mechanism of injury, diagnostic methods and treatment through a review of the international literature from the last 70 years. In conclusion, this systematic review showed an increasing trend towards non-surgical management of retroperitoneal injuries.

Keywords: Diagnosis; Diagnóstico; Injuries; Lesiones; Management; Manejo; Prevalence; Prevalencia; Retroperitoneo; Retroperitoneum; Tratamiento; Trauma; Traumatismo; Treatment.

Publication types

  • Systematic Review

MeSH terms

  • Abdominal Injuries / diagnosis
  • Abdominal Injuries / therapy
  • Humans
  • Retroperitoneal Space / injuries*