Renal Trauma a Retrospective Experience

The kidneys are the most vulnerable genitourinary organ in trauma, as they are involved in up to 3.25 % of trauma patients. The purpose of this article is to place the renal trauma where it belongs in relation to the surgical damages in general, and to the urogenital trauma in particular. Also, we are going to determine the cause of renal trauma. We are going to conclude the complexity of the early examinations for a quick diagnostician. Additionally, this article will identify the top rated renal trauma treatment methods. Materials and methodology: This is a retrospective study of renal trauma cases for the period times1991-1997 and 2000-2014. Results: During this period times1991-1997 we had impairment of firearms (47 cases) and other causes (27 cases). During period 2000-2014 we had impairment of firearms (15 cases) and the category of other causes were 52 cases. Complications were as the following: wound suppuration in 21 cases: urinoma in 4 cases: transitory hydronephrosis in 3 cases: fistula in 2 cases: renal avulsion with necrosis and renal vein injury 1 case respectively. Mortality resulted to be 2 cases or 10 % in the period 1991-1996, in 1997 16 % and during the period 2000-2014 10.5 %. Conclusions: Conservative rather than operative management is preferred in high-grade blunt renal injury. However, there is an increased complication rate in high-grade injuries, and close observation is recommended for high-grade renal injury after conservative management.