1 May 2005Review
Diagnostic and therapeutic approach to pancreatic trauma
Maria Vidali 1George Doulgerakis 1Nicolas Condilis 2Eleni Karmiri 3Ihon Poygouras 1George Papaioannoy 1Christos Ioannoy 1Stefanos Pierrakakis 1Nicolas Setakis 1
Affiliations
Article Info
1 Dipartimento di Chirurgia Generale e Ospedale Statale “Thriaseio”, Elefsina, Grecia
2 Dipartimento di Medicina Generale Familiare, Ospedale Statale “Agios Panteleimon” di Nikea, Pireo, Grecia
3 Dipartimento di Anestesiologia, Ospedale Statale “Thriaseio”, Elefsina, Grecia
Ann. Ital. Chir., 2005, 76(3), 247-250;
Published: 1 May 2005
Copyright © 2005 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
INTRODUCTION: The pancreatic trauma is rare, compared with the injuries of the other abdominal organs and occurs in 0.2-6 per cent of the cases of abdominal trauma. AIM OF THE STUDY: The aim of this essay is to demonstrate the Authors’ experience in the treatment of five cases of pancreatic injury during the last five years, as well as to retrospect the contemporary bibliography, connected with the diagnostic and curative approach of the pancreatic trauma. The diagnosis of the pancreatic trauma is difficult and many times, late. In their experience of pancreatic trauma, the Authors ascertained the pancreatic injury during the laparotomy which was made in order to treat other abdominal injuries. MTERIAL AND MAETHODS: The surgical techniques were chosen taking into account the extent of the injury, the detection and the existence of accompanying. Marginal resection of pancreas, splenectomy and drainage were applied to three patients, suture of the pancreas and drainage to one patient, drainage alone and treatment of synchronous rupture of the duodenum to one patient. RESULTS: The mortality was 0%. Came whereas the morbidity came basically on the seriousness of the accompanying injuries.
Keywords
- Blunt abdominal trauma
- Open abdominal trauma
- Pancreatic trauma