The presence of major renal injury does not, in itself, constitute an indication for mandatory exploration. The main indication for surgical intervention in renal trauma is an injury with major hemorrhage, such that the patient remains hemodynamically unstable despite adequate non-operative measures. Patients who are not treated operatively and those with major injuries should be monitored closely for clinical deterioration in an ICU setting. Repeat renal imaging using CT, ultrasound, or radionuclide studies may be helpful for following the injury.
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