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ORIGINAL ARTICLE
Year : 2001  |  Volume : 18  |  Issue : 1  |  Page : 10-13

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


Department of Urology, Guwahati Medical College Hospital, Guwahati, India

Correspondence Address:
P M Deka
Department of Urology, Manik Nagar, Near Rajdhani Nursery, Zoo Road, Guwahati (Assam) - 781 005
India
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Source of Support: None, Conflict of Interest: None


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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 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 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.


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