Vol. 2, Issue 3, Part A (2018)

Aims and Objective: To analyze the conservative management of blunt renal trauma at our tertiary care centre.

Material and Methods: This prospective study was conducted over a period of 5.5 years in unit-II of the department of surgery, SMHS (Shri Maharaja Harisingh) hospital, an associated hospital of Govt. Medical college Srinagar, from June 2012 to November 2017. A total of 23 patients were enrolled in this study. All blunt renal injuries were graded according to American Association for the Surgery of Trauma (AAST) organ injury severity scale. The study included 23 patients with CT documented ≤ grade III renal trauma in 17 patients and > grade III in 6 patients.

Results: A total of twenty three patients with mean age of 31 years (ranging from 11 to 49 years) have been included. Road traffic accident was the predominant mechanism (15 patients). One Grade 4 and three grade 5 blunt renal injury patients who were hemodynamically unstable despite of aggressive resuscitation and had concomitant liver and/or splenic injuries needed exploration for hemodynamic instability and underwent nephrectomy, otherwise all cases were managed nonoperatively. Two patients underwent splenectomy for Grade 5 splenic injury.

Conclusion: Conservative management for blunt renal injuries is safe and viable management option in majority of the patients.