Scientific Unit for Clinical and Medical Research, Osijek University Hospital
Abstract
Za vrijeme od 18 mjeseci u Domovinskom ratu Hrvatske bilo je 4425 ozljeđenih branitelja. Od tog broja bilo je 115 urogenitalnih ozljeda. Od kojih 64 (55,65%) ozljeda bubrega. Od ovih je 16 (25%) prouzrokovano projektilima, a 48 (75%) eksplozivnim napravama. Kombiniranih ozljeda bubrega s drugim urogenitalnim ozljedama bilo je 9 (15,72%), a u kombinaciji s ozljedama abdominalnih organa 61 (95,30%). Operativni je pristup mahom bio laparotomijski, a nefrektomija je izvršena jednoj četvrtini ranjenika, dok je u 48 (75%) slučajeva izvršen konzervativni kirurški zahvat (eksploracija, renorafija i resekcija).During 18 months of war in Croatia, our hospital took care of 4,425 wounded. There were 142 urogenital wounds, 64 (55.65%) of which were renal injuries. Sixteen (25%) of them were caused by missiles and 48 (75%) by explosive devices. Renal injuries were associated with abdominal injuries in 61 cases (95.31%) and in 9 cases (15.72%) with injuries to other urogenital organs. Diagnosis was mostly set during abdominal exploration. Nephrectomy was performed in a quarter of cases and conservative procedures (exploration only, renography and kidney resection) were applied in 68 (75%) cases
