Conservative Management vs Early Surgery for High Grade Pediatric Renal Trauma—Do Nephrectomy Rates Differ?

摘要

PurposeGuidelines for management of pediatric high grade renal injuries are currently based on limited pediatric data and algorithms from adults, for whom initial nonoperative management is associated with decreased nephrectomy risk. Using a national database, we compared nephrectomy rates between children with high grade renal injury managed conservatively and those undergoing early surgical intervention.