JUSTIFYING ORGAN-SAVING KIDNEY OPERATIONS IN EXTENSIVE TRAUMATIC PARENCHYMAL LESIONS

The management of renal trauma is facilitated by using modern imaging techniques such as ultrasound and CT-Scan. Regarding the sequelae of c onservative treatment we recommend an early operation within three day s after the trauma. The complication rate after an organ preserving te chnique is low, and good functional results reaffirm our concept of ea rly operation. Even in cases of severe parenchymal disruption organ pr eservation should be achieved. In polytraumatized patients the decisio n of organ preservation versus nephrectomy should be made depending on the blood loss and the cardiocirculatory stability of the patient.