Blunt renal trauma - is non-operative management a viable option

Blunt renal trauma - is non-operative management a viable option

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Deep cortical lacerations with or without urinary extravasations have traditionally been managed by exploration and surgical repair.With improved and readily available radiologic imaging modalities like computed Accessories:Car Parts:Other Car Parts tomography and intravenous pyelography, we propose that the majority of these injuries can be followed expectantly with delayed intervention if needed.30 patients with blunt abdominal trauma with significant renal injuries were reviewed.9 patients had Gr II, 16 patients had Gr III, 2 had Gr IV renal injuries.26 (86.

7%) patients responded to Normally Open Thermal Cutout conservative management.4 patients required operative intervention.6 patients had associated injuries.There was loss of I renal unit in 2 cases.With the aid of computed tomography, conservative therapy for severely injured kidneys can yield favourable results and save patients from unnecessary exploration and possible renal loss.