Is conservative treatment a valid option in management of most renal trauma grades?

Document Type : Original Article

Authors

1 Department of Urology, Faculty of medicine, Minia University

2 Department of Urology, Faculty of medicine, Port-Said University

Abstract

Trauma is a leading cause of morbidity and mortality all over the world. Blunt abdominal trauma accounts for more abdominal injuries than the less frequent penetrating injuries. The kidneys are located high up in the retroperitoneum, well protected and cushioned by the peritoneum and abdominal viscera anteriorly and by the tough musculoskeletal 
structures of the posterior abdominal wall posteriorly [1] Urinary tract injuries occur in 3%–10% of all abdominal trauma patients, the kidney being the most commonly injured organ. The vast majority (80%– 90%) of cases are secondary to blunt abdominal trauma. The most significant renal trauma is associated with injury to other major organs. On the other 
hand, up to 95%–98% of isolated renal injuries are considered minor injuries and are managed non-surgically because they usually heal spontaneously without complications[2]. The use of computed tomography (CT) in evaluation of abdominal trauma has influenced the current trends in the management of solid organ injuries towards non-operative 
managements. Even though the decision for operative intervention is usually based on clinical criteria rather than on imaging findings, CT information frequently increases the diagnostic confidence of the surgeons and influences clinical management decision and plays an important role in decreasing the rates of unnecessary exploratory laparotomy [3]

Main Subjects

Minia Journal of Medical Research
Volume 31, Issue 1
January 2020
Pages 271-274

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