Results of Non-Operative Management of Blunt Renal Trauma

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Abstract
A study of 84 patients with blunt renal trauma revealed that expectant, non-operative management of the clinically stable patient with either minor or more severe injuries (excluding vascular pedicle trauma) gave satisfactory results and entailed few subsequent complications. The nephrectomy rate with expectant management was markedly lower than that reported after an immediate operation. The salvage of functioning renal tissue appeared commensurate with angiographic delineation of devascularized tissue and was comparable to that of patients afforded immediate surgical intervention, without the threat of loss of the renal unit that was entailed by early operation.

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