Closed renal trauma in children.
Closed renal trauma in children often results in serious injury. In a series of 100 consecutive patients with closed renal trauma treated at the Royal Children's Hospital from 1967 to 1978, 32 children required surgery. Of these, eight children came to nephrectomy, whereas in 19 children viable renal tissue was conserved by the use of techniques such as renal suture or partial nephrectomy. The remaining five children had surgery, not for trauma, but rather for preexisting hydronephrosis discovered during investigation. There was a close relationship between the classification of renal injuries and the need for surgery. In this series there were two deaths and two late complications.
D000059:Accidents; D000063:Accidents, Traffic; D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007668:Kidney / Q000293:injuries*; D008297:Male; D009392:Nephrectomy; D011183:Postoperative Complications; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000601:surgery