OBJECTIVE: To report the outcomes of patients with traumatic renal injury who were managedconservatively in a tertiary trauma center from date of admission to discharge PATIENTS AND METHODS: The study is a comprehensive chart review on patients diagnosed with traumaticrenal injury, managed conservatively between January 2013- August 2018. Demographic dataincluding age and gender were recorded. RESULTS: A total of 92 patients with renal injury were managed in East Avenue Medical Center fromJanuary 2013 to August 2018. Only 25 of them were managed conservatively and were included inthis study. The patients included in this study had Grade II to V renal injuries and were sent homestable and improved. CONCLUSION Renal injury may be a life-threatening event in a setting of acute trauma. But if handledappropriately, it can be managed safely without the need for surgical intervention.

OBJECTIVE: To compare the value of intraoperative stone culture (IOSC) and intraoperative pelvic urine culture (IOPUC) versus pre-operative urine culture (POBUC) in the early detection of systemic inflammatory response syndrome (SIRS) in patients undergoing percutaneous nephrolithotomy (PCNL). METHODS: This is a prospective clinical study which includes all adult patients undergoing PCNL. All patients who were operated on should have a negative preoperative urine culture (POBUC) results. Intraoperative pelvic urine culture (IOPUC) and stone culture (IOSC) were extracted and results were interpreted if they were contributory in acquiring SIRS post operatively. RESULTS: The demographics of each patient such as age, sex, having diabetes, laterality, location of calculi had no correlation to the development of SIRS. Patients with positive IOPUC and IOSC results yielded a significant value with odds of having SIRS 4.71 and 13.74, respectively. CONCLUSION In the study, all patients underwent PCNL with negative preoperative urine culture findings. Having intraoperative cultures, IOPUC and IOSC, can definitely help predict the occurrence of SIRS and ultimately be one step ahead in the management of these patients to decrease overall morbidity and mortality.
Nephrolithotomy, Percutaneous ; Systemic Inflammatory Response Syndrome ; Postoperative Period