Pediatric blunt renal trauma--surgical or conservative treatment?
To evaluate the indications for conservative and surgical treatment, we analyzed the type of injury, associated injuries, diagnostic procedures and the results of therapy. Contusions were treated conservatively. In the 24 severe injuries surgery rate was 66% (16/24), renal loss rate was 16% (4/24), the other organs being saved by the operation. With primarily conservative treatment we had to operate in 1 case only due to recurrent hematuria; the renal loss rate was 0%. As indications for surgical treatment we defined: (1) deteriorating vital signs, (2) pedicle injuries and (3) large extravasations of contrast medium.
van Ahlen
H
H
Department of Urology, University of Bonn, FRG.
Brühl
P
P
Porst
H
H
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000628:therapy; D004322:Drainage; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D009392:Nephrectomy / Q000379:methods; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000628:therapy*