The management of major renal trauma is still controversial and there are few studies about preservation of renal function after surgical reconstruction. We report our results on 10 patients who underwent renal reconstruction and quantitative assessment of differential renal function by radionuclide scintigraphy (99m-TC DMSA); mean follow-up was 6.6 years. Function was 25% or more in 9 reconstructed kidneys: this value is considered an adequate preservation of renal function. We consider reconstructive surgery an appropriate method to manage major renal injuries.
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