Читать книгу A Clinical Guide to Urologic Emergencies - Группа авторов - Страница 33

The majority of renal trauma is caused by blunt mechanisms, making it vital for emergency providers and surgeons to have an understanding of renal trauma. Evaluation and management of blunt renal trauma has evolved significantly over the past decade. Guidelines from urologic societies have helped to disseminate indications for imaging and managing high‐grade kidney injuries. Over time, there has been an evolution toward non‐operative management, as data have shown good success with conservative approaches. The goal of diagnosing and managing renal trauma should be to preserve renal function, and this includes appropriate treatment of complications and failed conservative management. Long‐term follow‐up and assessment of renal function in these patients is lacking and requires updating.