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array:24 [ "pii" => "S0210480609742391" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74239-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74239" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:830-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1893 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 964 "PDF" => 924 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742408" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74240-8" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74240" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:835-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1805 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 910 "PDF" => 889 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Quiste renal infectado por brucela" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "835" "paginaFinal" => "836" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Renal cyst infected by brucella" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raquel Escriche Ros, María J. Rodríguez Manzanilla, Manuel Martín Montañés, Miguel Á. Esclarín Duny, José I. Sanz Vélez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Raquel" "apellidos" => "Escriche Ros" ] 1 => array:2 [ "nombre" => "María J." "apellidos" => "Rodríguez Manzanilla" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Martín Montañés" ] 3 => array:2 [ "nombre" => "Miguel" "apellidos" => "Á. Esclarín Duny" ] 4 => array:2 [ "nombre" => "José I." "apellidos" => "Sanz Vélez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742408?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742408/v1_201304251940/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S021048060974238X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74238-X" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74238" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:826-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2025 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1135 "PDF" => 884 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Linfoma primario de pene" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "826" "paginaFinal" => "829" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary lymphoma of penis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Ibarz Servio, Montserrat. Arzoz Fábregas, José M. Ruiz Domínguez, Montserrat Batlle Massana, José L. Mate Sanz, José Mª Saladié Roig" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Ibarz Servio" ] 1 => array:2 [ "nombre" => "Montserrat." "apellidos" => "Arzoz Fábregas" ] 2 => array:2 [ "nombre" => "José M." "apellidos" => "Ruiz Domínguez" ] 3 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Batlle Massana" ] 4 => array:2 [ "nombre" => "José L." "apellidos" => "Mate Sanz" ] 5 => array:2 [ "nombre" => "José Mª" "apellidos" => "Saladié Roig" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060974238X?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S021048060974238X/v1_201304251940/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Manejo conservador de los traumatismos renales por arma blanca. Presentación de dos nuevos casos y revisión de la literatura" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "830" "paginaFinal" => "834" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan P. Caballero Romeu, Julián Megías Garrigós, Asier Leivar Tamayo, Juan F. Galiano Baena, Carla Pérez Tomás, Enrique Herrero Polo" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Juan P." "apellidos" => "Caballero Romeu" "email" => array:1 [ 0 => "juanpablocaballero@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Julián Megías" "apellidos" => "Garrigós" ] 2 => array:2 [ "nombre" => "Asier Leivar" "apellidos" => "Tamayo" ] 3 => array:2 [ "nombre" => "Juan F." "apellidos" => "Galiano Baena" ] 4 => array:2 [ "nombre" => "Carla Pérez" "apellidos" => "Tomás" ] 5 => array:2 [ "nombre" => "Enrique Herrero" "apellidos" => "Polo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de urología. Hospital general universitario de alicante. España</span>" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Juan P. Caballero Romeu Servicio de Urología Hospital General Universitario de Alicante c/ Pintor Baeza nº 12 - 03010 Alicante Tel.: 965.93.83.10" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Stab wounds of the kidney: conservative management. Two new cases and review of the literature" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-11-01" "fechaAceptado" => "2008-01-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89074" "palabras" => array:3 [ 0 => "Heridas penetrantes" 1 => "Riñón" 2 => "Manejo clínico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89075" "palabras" => array:3 [ 0 => "Stab wounds" 1 => "Kidney" 2 => "Case management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento de los traumatismos renales por arma blanca ha sido tradicionalmente quirúrgico. Desde hace más 20 años se aboga por un tratamiento conservador con el fin de evitar laparotomías innecesarias y preservar unidades renales. Los criterios para intervenir de forma urgente o las pautas de seguimiento no están establecidos debido a la falta de estudios de calidad.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos dos nuevos casos de traumatismo renal por arma blanca en los que se llevó a cabo un manejo conservador y realizamos un revisión de la literatura. Resultados: Los dos pacientes evolucionaron favorablemente, si bien uno de ellos presentó hematuria durante el postoperatorio inmediato y fue necesaria una embolización selectiva de una fístula arterio-venosa. La mayor parte de los artículos se basan en series de casos o estudios observacionales retrosprospectivos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los traumatismos renales por arma blanca el diagnóstico es clínico y el estadiaje de las lesiones radiológico con una tomografía computarizada. El manejo conservador es de elección cuando el paciente está estable hemodinámicamente y las lesiones no requieren reparación inmediata. Estos pacientes requieren un seguimiento a largo plazo para monitorizar la aparición de complicaciones. Son necesarios estudios de mayor calidad que aporten una mayor evidencia científica.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Stab wounds of the kidney have traditionally been managed by open surgery. Nowadays the conservative management of stab wounds injuries is extended in order to avoid unnecessaries nephrectomies and laparotomies without increasing morbidity and mortality. Although there is no a strong evidence to recommend when to operate or what sort of follow up we must do.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We present two new cases of stab wounds injuries managed conservatively. We performed a systematic review of the literature.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Both patients evolved favorably although one of them presented hematuria 7 days after the traumatism and we performed an embolization of an arteriovenous fistula. Most of the articles are based on series of cases or retrosprospective studies.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The diagnosis and staging of stab wounds of the kidney must be done with clinic and CT scan. Conservative management is required when the patient is not hemodinamically unstable and injuries do not require inmediate repair. These patients require a long term follow up to prevent the appearance of complications. Randomized prospective multicenter trials are needed to support the optimum management for each kidney injury degree.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "EAU guidelines on urological trauma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.H. Lynch" 1 => "L. Martínez-Piñeiro" 2 => "E. Plas" 3 => "E. Serafetinides" 4 => "L. Türkeri" 5 => "R.A. Santucci" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2004.07.028" "Revista" => array:7 [ "tituloSerie" => "Eur Urol" "fecha" => "2005" "volumen" => "47" "numero" => "1" "paginaInicial" => "1" "paginaFinal" => "15" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15582243" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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Wessels" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0022-5347(05)00347-2" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2006" "volumen" => "175" "numero" => "3 Pt 1" "paginaInicial" => "970" "paginaFinal" => "975" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16469594" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatismo renal severo con tratamiento conservador" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. de Pablo Cárdenas" 1 => "M.A. Pinós Paul" 2 => "J.I. Jiménez Aristu" 3 => "J. Iriarte Aristu" 4 => "L. Garrón Aoiz" 5 => "J.A. Millán Serrano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2005" "volumen" => "29" "numero" => "4" "paginaInicial" => "436" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15981437" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742391/v1_201304251940/es/main.assets" "Apartado" => array:4 [ "identificador" => "6431" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Nota clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000007/v1_201304251940/S0210480609742391/v1_201304251940/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742391?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S0210480609742391/S300/en/292v33n07a13143219pdf001_2.pdf" "portada" => "292v33n07a13143219pdf001_2.png" ] ] ]
