title: [Clinical experience in the diagnosis and treatment of kidney trauma].
abstract: BACKGROUND
  Kidney trauma belongs to the rarely arising urological illnesses. In recent years guidelines for the treatment of urological injuries have been compiled by the Société Internationale d'Urologie (SIU) and the European Association of Urology (EAU). In the current literature increasingly more meaning is granted to a conservative in relation to a surgical therapy procedure, also with grade 4 and 5 kidney injuries.
  
  
  METHODS
  From 2002 to 2009, 83 patients with kidney injuries were treated in our hospital. There were 56 patients with grade 1 and grade 2 injuries, 12 patients with grade 3 and grade 4 injuries, and in addition, a total of 15 patients with a grade 5 injury.
  
  
  RESULTS
  In 75% of the cases a conservative procedure could be arranged depending on the further clinical course. In 25% of the cases, however, relative and/or absolute indications for operative intervention stood in the foreground, so that this group had an exploratory laparotomy. In 7 cases total nephrectomy had to be performed; however, in 11 cases organ-preserving surgery was possible.
authors: Fachabteilung Urologie, Zeisigwaldkliniken Bethanien, Zeisigwaldstraße 101, 09130 Chemnitz, Deutschland.
authors: K
authors: K
authors: Appelt
authors: K
authors: K
authors: Eisenbrandt
authors: G
authors: G
authors: Lampanaris
authors: D
authors: D
authors: Fahlenkamp
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015984:Causality; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D009392:Nephrectomy / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D011379:Prognosis; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D055815:Young Adult