A 5 YEAR RETROSPECTIVE REVIEW OF PATIENTS WITH RENAL TRAUMA: A SINGLE CENTRE STUDY.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i9.2026Keywords:
Operative, non-operative, renal injury scale, low and high gradeAbstract
Background
Operative and non-operative approaches are the management options for renal trauma based on the clinical profile of the patient. This study evaluated the clinico-radiological profile of renal trauma patients (Grades I-V) and their management to determine the association of grade of renal trauma with length of hospital stay and type of treatment.
Materials and Methods
This retrospective cohort study was conducted in the Department of Urology, JSS Hospital, Mysuru, from January 2019 to January 2024 on patients with confirmed renal trauma on computed tomography.
Results
A total of 48 patients with renal trauma were included in this study. The mean age was 34 years, and the majority of the patients were males (83%). Blunt trauma was most frequently reported, and only 10% patients required surgical exploration. The distribution of patients according to grades of renal trauma was (27.1%) Grade 1;(14.6%) Grade II; (37.5 %), Grade III; (16.7 %) Grade IV; and (4.2 %) Grade V. Liver injury was the most common associated injury, followed by rib fractures and DJ stenting (12.5%) was the commonly performed surgical intervention. The mean length of hospital stay ranged from 04 to 60 days, positively correlated with the severity of grades. Microscopic hematuria was the most common presentation, with death occurring in only 3 patients of Grade V injury.
Conclusion
Conservative management is the preferred choice in the majority of renal trauma cases. This study has shown high renal preservation in low-grade (I-III) renal injuries, which were managed conservatively. However, surgical intervention in high-grade (IV, V) hemodynamically unstable patients was still a need.
References
Alonso RC, Nacenta SB, Martinez PD, Guerrero AS, Fuentes CG. Kidney in danger: CT findings of blunt and penetrating renal trauma. Radiographics 2009;29:2033-53. https://doi.org/10.1148/rg.297095071
Meng MV, Brandes SB, McAninch JW. Renal trauma: Indications and techniques for surgical exploration. World J Urol 1999;17:71-7. https://doi.org/10.1007/s003450050109
Santucci RA, McAninch JM. Grade IV renal injuries: Evaluation, treatment, and outcome. World J Surg 2001;25:1565-72. https://doi.org/10.1007/s00268-001-0151-Z
Lee YJ, Oh SN, Rha SE, Byun JY. Renal trauma. Radiol Clin North Am 2007;45:581-92, ix. https://doi.org/10.1016/j.rcl.2007.04.004
Broghammer JA, Fisher MB, Santucci RA. Conservative management of renal trauma: A review. Urology 2007;70:623-9. https://doi.org/10.1016/j.urology.2007.06.1085
Ząbkowski T, Skiba R, Saracyn M, Zieliński H. Analysis of renal trauma in adult patients: A 6-year experience of a trauma center. Urol J 2015;12:2276-9.
Bjurlin MA, Fantus RJ, Villines D. Comparison of nonoperative and surgical management of renal trauma: Can we predict when nonoperative management fails? J Trauma Acute Care Surg 2017;82:356-61 https://doi.org/10.1097/TA.0000000000001316
Lanchon C, Fiard G, Arnoux V, Descotes JL, Rambeaud JJ, Terrier N, et al. High-grade blunt renal trauma: Predictors of surgery and long-term outcomes of conservative management. A prospective single-center study. J Urol 2016;195:106-11. https://doi.org/10.1016/j.juro.2015.07.100
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Dr. Sajan Sehgal, Dr. AMRUTHRAJ G GOWDA, Dr. VIJAYAKUMAR. R, Dr. SACHIN DHARWADKAR, Dr. RAVIKUMAR BR,, Dr. ABDUL KHADER MASHOOK
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
