Immediate radiologic and surgical management of renal injuries.
Urologic evaluation for renal trauma is usually delayed in the multiple-injured patient, since the management of life-threatening associated injuries takes precedence. A method of immediate radiologic diagnosis and surgical management was carried out in 1,205 patients with 1,222 renal injuries. Blunt external trauma caused 96% of the renal injuries. Immediate IVP resulted in a definitive diagnosis in 91% of the cases. The renal injuries comprised contusions in 87%, lacerations in 8%, rupture in 2%, and pedicle injuries in 3%. Associated injuries were present in 75.5% of patients, including 49% requiring a laparatomy for intra-abdominal injury. The overall nephrectomy rate of 3.7% compares favorably to the nephrectomy rate in studies reporting the conservative management of renal injuries.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D003422:Critical Care; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011859:Radiography; D012737:Sex Factors; D014949:Wounds, Nonpenetrating / Q000150:complications