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Contemporary evaluation and management of renal trauma
Department of Urology, SUNY Downstate Medical Center, Brooklyn, New York, USA
Apr 2016 (Vol. 23, Issue 2, Pages( 8191 - 8197)
PMID: 27085822

Abstract

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  • INTRODUCTION:

    Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of this clinical condition.

    MATERIALS AND METHODS:

    A systematic search of PubMed was performed to identify relevant and contemporary articles that referred to the management and evaluation of renal trauma.

    RESULTS:

    Computed tomography remains a mainstay of radiological evaluation in hemodynamically stable patients. There is a growing body of literature showing that conservative, non-operative management of renal trauma is safe, even for Grade IV-V renal injuries. If surgical exploration is planned due to other injuries, a conservative approach to the kidney can often be utilized. Follow up imaging may be warranted in certain circumstances. Urinoma, delayed bleeding, and hypertension are complications that require follow up. CONCLUSION: Appropriate imaging and conservative approaches are a mainstay of current renal trauma management.

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