[Is organ saving kidney operation in extensive traumatic parenchyma lesions justified?]

The management of renal trauma is facilitated by using modern imaging techniques such as ultrasound and CT-Scan. Regarding the sequelae of conservative treatment we recommend an early operation within three days after the trauma. The complication rate after an organ preserving technique is low, and good functional results reaffirm our concept of early operation. Even in cases of severe parenchymal disruption organ preservation should be achieved. In polytraumatized patients the decision of organ preservation versus nephrectomy should be made depending on the blood loss and the cardiocirculatory stability of the patient.