Pancreatic Trauma - A Management Conundrum, whether to Operate or Not to Operate and Management of Complications: A Study from a Tertiary Care Hospital in South India
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 9
Abstract
Introduction: Abdominal trauma has become one of the leading causes of mortality and morbidity around the world. There is much confusion about the management of pancreatic trauma. We present our data on the management of pancreatic trauma. Materials and Methods: A retrospective analysis of trauma patients between October 2002 and October 2018 was carried with analysis of demographics, mode of trauma, grade of pancreatic trauma, and treatment and management of complications. Results: A total of 506 patients with abdominal trauma were admitted with abdominal trauma, 32 patients with pancreatic injuries. 28 patients suffered blunt trauma and 4 patients had penetrating trauma. All patients with penetrating injuries underwent emergency laparotomy. Nine patients suffered Grade I injury, seven Grade II injury, eight with Grade III, and four each with Grade IV and Grade V injuries. All patients with Grade V injuries were operated with one mortality due to laceration of retrohepatic trauma. All patients with Grade I and II injuries with blunt injury were managed non-operative management (NOM). Four patients with Grade III injuries were operated initially due to sepsis. Four patients with Grade III injuries were managed initially with NOM with three operated later failure of NOM due to complications. Conclusion: Pancreatic injuries should be managed non-operatively initially except for Grade V injuries and complications arising out of NOM could be managed later with lower morbidity and mortality.
Authors and Affiliations
Noor Mohammed Shawnas Bahnou, H Raja
Keywords
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