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[Major renal trauma. Therapeutic approaches and our experience]
P Cortellini1, S Ferretti, C Di Stefano
1Divisione di Urologia, Azienda Ospedaliera, Parma.
Methods:
During a 12-year period, 110 patients with renal blunt trauma have been observed. Renal exploration was performed in 17 patients (15.45%). Absolute indications for exploration were bleeding and pulsatile perirenal hematoma and associated abdominal injuries. Salvage was successful in 76.48% of the kidneys explored and hemostatic nephrectomy was required in 23.52%. The success rate was based on early vascular control and reconstructive techniques of renorrhaphy, partial nephrectomy and coverage with omental pedicle flaps.
Results:
At follow-up, hypertension occurred in only 3 patients and resolved spontaneously after 3-6 months.
Conclusions:
On the basis of personal experience, the conclusion is drawn in that when renal exploration is required, reconstruction can be successful in a high percentage of patients.