[Diagnostics and treatment of renal injury after closed abdominal trauma]

The 10-year experience of treatment of closed isolated and combined abdominal trauma and renal injury included data of 117 cases. The diagnose was made basing on the clinical analysis, ultrasound investigation and computed tomography. 61 patients were operated on, though only 6 of them on the reason of the renal injury. The rest 55 were operated on the reason of accompanying spleen injury, urinary bladder of diaphragm rupture. 56 patients with renal injury were treated conservatively, of them 55 - successfully. The study showed, that the computed tomography provided the complete information about the severity of the renal trauma and bleeding, defining the indication to surgery. Authors worked out the indications for the visual intraoperative kidney revision, if the severity of the injury had been not assessed before. Nevertheless, the conservative therapy proved to be effective in 98.2% of patients with kidney trauma stage I-IV.