Editorial comment

摘要

Most experts agree that patients with renal trauma who are not exsanguinating from the kidney are best treated with a conservative approach.1 This appears to be the case for blunt trauma, stab wounds and even some gunshot wounds in adults and children. The major question that is just starting to be answered concerns how many patients will require delayed intervention after an initially conservative approach. The answer to this question is an important point from this series. Of children with high grade renal injuries treated conservatively 11% will still require nephrectomy and 7% will require additional urological procedures (mostly ureteral stents and angioembolizations). The careful practitioner will be vigilant for the need to intervene when necessary, even after an initially conservative approach.