Introduction: Out of all trauma cases, renal trauma comprises around 5% and the same accounts for 24% of all abdominal solid organ injuries. Management of renal trauma has evolved over the past decades, and the current management is advocated more towards conservative approaches for the majority of hemodynamically stable patients. Analysis of the mechanism of injury, management and outcomes in isolated renal trauma cases is the main objective of this study.
Methods: Patients diagnosed with isolated renal injury in Government Rajaji Hospital from January 2021 to January 2023 were analyzed retrospectively. Data were collected from the medical records. Analysis of variables includes sex, age, degree of renal trauma, mechanism of injury, management and outcomes.
Results: Out of the 37 patients identified, the average age was 24.3 ± 0.5 years and most were male-30 (81%). Blunt trauma accounted for 81% (30) of all cases. The most common renal injuries were grade I-III (84%) and 32.4% (12) of the cases had hematuria. Most patients (89.2% - 33) were treated with non-operative management (NOM). Nephrectomy was performed in 8.1% (3) of cases and 2.7% (1) of cases underwent renorrhaphy. It was found that the overall mortality rate was 2.7% (1).
Conclusions: Non-Operative Management has a good outcome in majority of blunt and penetrating types of renal trauma in hemodynamically stable cases.
Impact Factor
2022: 6.012
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