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
Related Articles
- EP ID EP483346
- DOI -
- Views 145
- Downloads 0
Prevalence and Distribution of Different Types of Bone Defects in Chronic Periodontitis In Bagalkot Subjects - A Clinical Study
Background: Chronic destructive periodontitis involves resorption of the bone supporting the teeth. Various treatment aspects of this disease depend on the amount of alveolar bone remaining around the teeth. Hence, it is...
Magnetic Resonance Imaging Brain in Evaluation of Pediatric Epilepsy
Introduction: About 5% children are at risk of experiencing a seizure and half of them encounter the first seizure in infancy. Epilepsy is a condition in which seizures are triggered recurrently from within. Electroencep...
Tertiary Dentiton: Full Mouth Rehabilitation using Implants and Fixed Prosthesis
Introduction: Several treatment options with implant have been described for rehabilitation of edentulous patient. For many years, osseointegrated implant-supported fixed bridges have been used in the rehabilitation of t...
Clinical Study of Hydatid Disease
ntroduction: Hydatid disease has been known form the time of Hippocrates who refers to the disease as “Liver full of water.” The most common form is Echinococcus granulosus, which gives rise to cysts. Hydatid disease is...
A Comparative Study of Injection Propofol Continuous Infusion and Bolus Doses for Maintenance of Anesthesia in Short Surgical Procedure
Introduction: propofol is an intravenous anesthetic that is being used since years and it is most commonly used induction agent now a days.it has become very popular because of its characteristics of smooth induction and...