Proper management of renal artery injury from blunt XXXX .

@entity1 @entity101 @entity490 @entity1317 @entity811 @entity925 @entity130
@entity130 to renal arteries often receives suboptimal management because of delayed diagnosis, incomplete preoperative evaluation, associated injuries, or unknown functional capacity of the contralateral kidney. We propose a rational treatment plan from an analysis of our three cases and a review of 118 cases. Two thirds of the @entity1 were male, and left-sided injuries predominated over right 42.9% to 30.6%. In 20 cases the insult was bilateral. @entity1317 occurred in 72%, averaging 1.6 injuries per case, of which one half were intra-abdominal. Flank and/or @entity490 was present in 73% of cases, @entity925 in 65%, and gross or microscopic @entity811 in 74%. Repairs were attempted on 38 renal arteries. "Successful" repairs were accomplished in 16 arteries, while repairs failed in 22. Subsequent @entity101 developed in 32% of successes. Repair should be attempted in stable @entity1 with unilateral injury of less than four hours' duration, bilateral injuries of less than 20 hours' duration, or injuries with nonocclusion on arteriogram.
