[Moderately severe kidney injuries. Changes in therapeutic indications].
The choice of treatment for moderately severe blunt trauma to the kidney is a controversial issue. Modern imaging techniques, especially computed tomography and more recently 3-D imaging, have greatly improved analysis of the lesions. Ultrasonography and computed tomography allow for precise noninvasive follow-up, widening indications for non-surgical management. The question is raised as to whether retarding surgery may have a consequence on the development of late complications which were long the reason for routine surgical treatment in case of infection, urinary extravasation, large interfragment gaps, or devascularization.
Biserte
J
J
Service d'Urologie, Hôpital Claude Huriez, Lille.
Mazeman
E
E
Lemaitre
L
L
Bertrand
P
P
D006801:Humans; D007668:Kidney / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*