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2015•TraumaRequires access

Management of blunt renal trauma

Kurian George, Salim Al Busaidy

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Abstract

Non-operative management of renal injuries has gained acceptance in the past few decades. We report our experience of the management of blunt renal trauma at our hospital between January 2007 and July 2014. This study illustrates that non-operative treatment of major renal lacerations with or without urinary extravasation is safe and effective in haemodynamically stable patients. A significantly higher rate of double J stent insertions was deployed in this study for injuries with significant extravasation, which did not have any detrimental effect and an overall excellent outcome was observed.

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What this paper is about

Non-operative management of renal injuries has gained acceptance in the past few decades. We report our experience of the management of blunt renal trauma at our hospital between January 2007 and July 2014. This study illustrates that non-operative treatment of major renal lacerations with or without urinary extravasation is safe and effective in haemodynamically stable patients. A significantly higher rate of double J stent insertions was deployed in this study for injuries with significant extravasation, which did not have any detrimental effect and an overall excellent outcome was observed.

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Available abstract

Non-operative management of renal injuries has gained acceptance in the past few decades. We report our experience of the management of blunt renal trauma at our hospital between January 2007 and July 2014. This study illustrates that non-operative treatment of major renal lacerations with or without urinary extravasation is safe and effective in haemodynamically stable patients. A significantly higher rate of double J stent insertions was deployed in this study for injuries with significant extravasation, which did not have any detrimental effect and an overall excellent outcome was observed.

Key concepts: Medicine, Blunt, Extravasation, Renal injury, Surgery, Blunt trauma, Penetrating trauma, Stent

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