Work

Maximizing renal function: delayed robotic reconstruction of a partially devascularized kidney following high grade ureteral and renal trauma

Year: 2026

Type: article

Abstract: Blunt or penetrating abdominal trauma often involves the kidneys. Current guidelines recommend non-operative management in hemodynamically stable patients with high-grade renal trauma. We present the case of a 25-year-old female patient status post motor vehicle collision presenting with a grade 4 right renal laceration on contrast CT involving complete avulsion of the ureteropelvic junction and devascularization of the lower pole successfully managed through delayed surgical reconstruction. Our approach involves placement of a percutaneous nephrostomy tube into the viable superior pole and subsequent ureteral rest while awaiting resolution of the urinoma prior to operative management. Following high grade renal trauma with partial devascularization, reconstructive surgery may be considered in a delayed manner, in young and otherwise healthy patients in an attempt to preserve functional nephron mass. Preoperative drainage of the remaining viable kidney, adequate ureteral rest, and meticulous hilar dissection are valuable in ensuring surgical success.

Source: Urology Video Journal

DOI: 10.1016/j.urolvj.2026.100393

Authors: Sesilia Kammo, Eric Williams, Connor Ray, Shane Tinsley, Craig Rogers, Nabeel Shakir

Institutions: Wayne State University, Henry Ford Health, Henry Ford Hospital, Comprehensive Urology

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $800