[Major renal trauma. Therapeutic approaches and our experience].
METHODS
During a 12-year period, 110 patients with renal blunt trauma have been observed. Renal exploration was performed in 17 patients (15.45%). Absolute indications for exploration were bleeding and pulsatile perirenal hematoma and associated abdominal injuries. Salvage was successful in 76.48% of the kidneys explored and hemostatic nephrectomy was required in 23.52%. The success rate was based on early vascular control and reconstructive techniques of renorrhaphy, partial nephrectomy and coverage with omental pedicle flaps.


RESULTS
At follow-up, hypertension occurred in only 3 patients and resolved spontaneously after 3-6 months.


CONCLUSIONS
On the basis of personal experience, the conclusion is drawn in that when renal exploration is required, reconstruction can be successful in a high percentage of patients.
Cortellini
P
P
Divisione di Urologia, Azienda Ospedaliera, Parma.
Ferretti
S
S
Di Stefano
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy