Renal Trauma Management in 8 Cities of Iran

Abstract

This prospective study, conducted in 8 cities of Iran from 1999 to 2000. Out of total 16,573 trauma patients, 106 (0.63%) included in this study had renal injury. This study aimed at investigation of incidence, etiology and management of renal trauma patients in Iran. They were 87 (82.1%) male and 19 (17.9%) female patients. Renal trauma mechanism was mainly blunt injury (93.4%). Road traffic crashes (61.3%) and falls (22.7%) were the most leading causes of trauma. These patients had different grade of traumas as follow: Sixty-six (62.3%) grade I, 14 (13.2%) grade II, 10 (9.4%) grade III, 8 (7.5%) grade IV and 8 (7.5%) grade V. Out of 106 patients, eighty-three (78.3%) patients managed conservatively, most had grade I injury (P<0.0001). Twenty-three (21.7%) patients underwent different kinds of operation including: 5 (4.7%) nephrorrhaphy; 6 (5.7%) partial nephrectomy, and 12 (11.8%) total nephrectomy. More invasive intervention was needed in patients with higher grades of trauma as all with grade V injury underwent total nephrectomy (P<0.0001). Six patients (5.66%) passed away, three due to severe renal injury and hemorrhage, and three because of reasons unrelated to renal trauma. We concluded that most renal traumas are blunt injury and low grade with stable hemodynamic state which can be managed successfully non-operatively. "n© 2009 Tehran University of Medical Sciences. All rights reserved.

Keywords

• Renal trauma
• management
• operative
• conservative