[Conservative therapy of blunt kidney injuries].
Forty-two patients with blunt renal injuries were treated between 1984 and 1994 at our institution. Twenty-nine patients revealed a contusion (grade I injury), 10 showed lacerations (grade II), 1 a severe fracture (grade III), and 2 presented pedicle injuries (grade IV). All 10 patients with incomplete renal injuries (grade II) were treated conservatively, i.e. without primary surgery. One of these 10 patients required surgical intervention 3 months after the trauma due to a urinary obstruction. Two of the ten patients with grade II injuries suffered late complications, namely a contracted kidney in one case and hypertension in the other. This means that of 10 patients with conservatively treated grade II renal trauma, a loss of the function of the affected kidney occurred in only one. In 9 patients complete function of the kidney could be preserved. In conclusion, conservative management of incomplete blunt renal injuries is an effective treatment option with few complications.
Munk
M
M
Urologische Klinik und Poliklinik, Universität Würzburg.
Hofmockel
G
G
Frohmüller
H
H
D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries*; D007677:Kidney Function Tests; D011859:Radiography; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000145:classification / Q000150:complications / Q000628:therapy*
Konservative Therapie des stumpfen Nierentraumas.