2020
Current Management of Extraperitoneal Bladder Injuries: Results from the Multi-Institutional Genito-Urinary Trauma Study (MiGUTS).
Anderson RE, Keihani S, Moses RA, Nocera AP, Selph JP, Castillejo Becerra CM, Baradaran N, Glavin K, Broghammer JA, Arya CS, Sensenig RL, Rezaee ME, Morris BJ, Majercik S, Hewitt T, Burks FN, Schwartz I, Elliott SP, Luo-Owen X, Mukherjee K, Thomsen PB, Erickson BA, Miller BD, Santucci RA, Allen L, Norwood S, Fick CN, Smith BP, Piotrowski J, Dodgion CM, DeSoucy ES, Zakaluzny S, Kim DY, Breyer BN, Okafor BU, Askari R, Lucas JW, Simhan J, Khabiri SS, Nirula R, Myers JB. Current Management of Extraperitoneal Bladder Injuries: Results from the Multi-Institutional Genito-Urinary Trauma Study (MiGUTS). Journal Of Urology 2020, 204: 538-544. PMID: 32259467, PMCID: PMC8717861, DOI: 10.1097/ju.0000000000001075.Peer-Reviewed Original ResearchConceptsExtraperitoneal bladder injuriesBladder neck injuryBladder injuryOperative repairCatheter drainageInitial managementNeck injuriesLevel 1 trauma centerLarge multi-institutional cohortIntraperitoneal bladder injuryInitial management strategyMulti-institutional cohortSignificant predictorsSeverity of injuryCurrent management trendsConcomitant injuriesHospital arrivalUrethral injuryBladder neckSurgical repairTrauma centerSignificant complicationsPelvic fracturesBladder traumaRepair group
2019
The American Association for the Surgery of Trauma renal injury grading scale: Implications of the 2018 revisions for injury reclassification and predicting bleeding interventions.
Keihani S, Rogers DM, Putbrese BE, Anderson RE, Stoddard GJ, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller BD, Santucci RA, Carrick MM, Allen L, Norwood S, Hewitt T, Burks FN, Heilbrun ME, Gross JA, Myers JB. The American Association for the Surgery of Trauma renal injury grading scale: Implications of the 2018 revisions for injury reclassification and predicting bleeding interventions. Journal Of Trauma And Acute Care Surgery 2019, 88: 357-365. PMID: 31876692, DOI: 10.1097/ta.0000000000002572.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaAAST grading systemComputed tomography scanGrading systemAAST gradingTomography scanMixed-effects multivariable logistic regressionInitial computed tomography (CT) scanLevel 1 trauma centerGrade IV injuriesGrade V injuriesNon-operative managementMultivariable logistic regressionSurgery of TraumaImportant radiologic findingsAmerican AssociationRenal traumaRadiologic findingsTrauma centerGrade IIIInjury patternsGrade reclassificationEpidemiological studiesLevel IIIControl interventionsMelorheostosis
Fick CN, Fratzl-Zelman N, Roschger P, Klaushofer K, Jha S, Marini JC, Bhattacharyya T. Melorheostosis. The American Journal Of Surgical Pathology 2019, 43: 1554-1559. PMID: 31386640, PMCID: PMC7832124, DOI: 10.1097/pas.0000000000001310.Peer-Reviewed Original ResearchConceptsClinical presentationBone biopsyCortical bone depositionProminent cement linesPatient's clinical presentationCommon histologic findingsRadiologic patternsPathologic findingsRadiographic findingsHistologic patternHistologic findingsDifferential diagnosisBone diseaseDripping candle waxDense cortical boneMelorheostosisPatientsMultiple patientsClinical pathologistsBone depositionCortical boneBiopsyDiagnosisDistinct patternsBoneThe associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study.
Keihani S, Putbrese BE, Rogers DM, Zhang C, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB. The associations between initial radiographic findings and interventions for renal hemorrhage after high-grade renal trauma: Results from the Multi-Institutional Genitourinary Trauma Study. Journal Of Trauma And Acute Care Surgery 2019, 86: 974-982. PMID: 31124895, DOI: 10.1097/ta.0000000000002254.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaVascular contrast extravasationInitial radiographic findingsRadiographic findingsCertain radiographic findingsRenal traumaLaceration sizeMixed-effects Poisson regressionRisk of interventionRenal angioembolizationContrast extravasationRenal injuryRenal hemorrhageUnivariable analysisMulticenter studySurgical packingPartial nephrectomyDeep lacerationsTomography scanMultivariable modelLevel IVEpidemiological studiesInjury mechanismLevel IOptimal cutoffOptimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma
Keihani S, Putbrese BE, Rogers DM, Patel DP, Stoddard GJ, Hotaling JM, Nirula R, Luo-Owen X, Mukherjee K, Morris BJ, Majercik S, Piotrowski J, Dodgion CM, Schwartz I, Elliott SP, DeSoucy ES, Zakaluzny S, Sherwood BG, Erickson BA, Baradaran N, Breyer BN, Fick CN, Smith BP, Okafor BU, Askari R, Miller B, Santucci RA, Carrick MM, Kocik JF, Hewitt T, Burks FN, Heilbrun ME, Myers JB. Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma. Journal Of Trauma And Acute Care Surgery 2019, 86: 274-281. PMID: 30605143, DOI: 10.1097/ta.0000000000002098.Peer-Reviewed Original ResearchConceptsHigh-grade renal traumaInitial CT scanUrinary extravasationRenal collecting system injuryRenal traumaExcretory phaseCT scanSystem injuryTomography scanOptimal timingPhase CT scansInitial CTMedian timeLevel ICutoff pointExtravasationPoisson regressionLevel IIIAccurate diagnosisDiagnosisPhase timingAccurate gradingTraumaScansPatients