RENAL TRAUMAS IN GENERAL-SURGERY (65 CASES)

From September 1989 to September 1994, 65 patients, 15 females and 50 males, with a mean age of 32 +/- 14 years were admitted in the emergency unit for renal trauma. In 38,5% of cases multiple trauma was present. Lesional mecanism was most frequently contusions (49,2%) and deceleration injuries (43,1%). Gross hematuria or microscopic hematuria were presents in 72.3% of cases. The sensibility of systematic abdominal echography was 100% in case of perirenal hematoma and 65% in case of parenchymatous lesions. Only 23 patients were operated (35,3%) because of low blood pressure. None secondary operation was necessary in abstention group. Global mortality was 7,7%. Postoperative morbidity was 20% and specific morbidity in abstention group was 10,7%.