Abstract
The records of 65 patients with renal injuries caused by external force were reviewed. Careful clinical observation and serial radiologic examinations permitted the separation of patients into two groups, major and minor renal injuries; the former were usually treated surgically and the latter, conservatively. Purposeful delayed operation for serious renal trauma caused by blunt external force possesses many of the advantages of immediate surgical intervention, but does not require preliminary pedicle control or emergency arteriography. Immediate surgical repair, delayed purposeful secondary operation, and conservatism all may be employed to advantage depending on individual circumstances.
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