Operative strategies in Pancreatic Trauma

Abstract

A prospective study consisting of 16 patients was carried out in West Surgical Ward Mayo Hospital, Lahore from January 2001 to December 2002. All the patients having pancreatic injury alone or associated with other organ injuries detected on exploratory laparotomy were included in the study. There were 15 (93.75%) males and only one (6.25%) female patient in the study. Cause of injury in 11 (68.75%) patients was firearm, in three (18.75%) patients it was blunt trauma and stab in 2(12.50) patients. Four (25%) patients had grade III injury and five (31.25%) patients had grade V pancreatic injury. Distal pancreatectomy with splenectomy was done in seven (43.75%) and Whipple`s operation in six (37.50%) patients. Post-operative complications observed in the series were pancreatic fistula in two (12.50%), intra-abdominal abscess in two (12.50%), peri-pancreatic abscess in one (6.251%) and acute pancreatitis in one (6.251%) patient. There were four deaths in the series.