Conservative management of renal lacerations in blunt trauma.
Controversy in the treatment of blunt renal trauma is largely focused on immediate surgery versus conservative management for parenchymal lacerations. A retrospective analysis of 133 cases of blunt renal trauma at the Victoria General Hospital in Halifax over a 10-year period revealed 26 cases of renal laceration. The conservative approach to radiologic diagnosis and treatment options is discussed. Our experience confirms a low rate of both nephrectomy and secondary complications using conservative management.
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D012077:Renal Artery / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D014567:Urography; D014949:Wounds, Nonpenetrating / Q000628:therapy*