Traumatic Duodenal Injuries, Surgical Management

Abstract

Objectives: The purpose of this study is to share our surgical experience of duodenal injuries management and to evaluate outcome of different surgical procedures. Study Design: case series. Place and Duration of Study: Surgical emergency Allied hospital Faisalabad from 01 June 2012 to 31 may 2014. Methods: All patients with traumatic duodenal injuries were included.  Data included patient’s profile, date of admission, mechanism of injury, grade of duodenal injury, type of procedure, and outcome. Results: Total number of cases in period under study was 29. There were 26 (89.7%) male and 3 (10.3%) female and mean age of 27.8 years. 62% cases were due to blunt abdominal trauma commonly road traffic accident and 38% penetrating  injuries predominantly firearm injuries.Second part of duodenum was found to be the most commonly injured site in 55.17% case and grade II injuries accounted for 65.52% of total injuries. The most common operative procedure performed was Primary repair. Postoperatively 10.34% cases developed duodenal fistula, and the overall morbidity was found to be 34.48% and mortality 31%. Conclusion: It is concluded that blunt trauma abdomen is common cause of duodenal injury in our setup. Most injuries can be managed by primary repair. Early diagnosis and surgical intervention is most important factor for good results.