Promising Technique for Traumatic Pancreatic Injury Management

Mohammed Hamada Takrouney1*, Vipul Prakash Bothara2, Bhushan Jahhav3, Mohamed Abdelkader Osman4, Ibrahim Ali Ibrahim4, Almoutaz Ahmed Eltayeb4, Mahmoud Mohamed Mostafa4 and Gursev Sandlas2

1Department of Pediatric Surgery, Assiut University, Pediatric Hospital, Egypt
2Department of Pediatric Surgery, Centre for Children, Kokilaben Dhirubhai Ambani Hospital, India
3Department of Pediatric Surgery, Noah's Ark Children's Hospital, UK
4Department of General and Pediatric Surgery, Assiut University, Egypt

^*Correspondance to: Mohammed Hamada Takrouney 

 PDF  Full Text DOI: 10.25107/2474-1647.3300

Abstract

Introduction: Pancreatic injuries in children are relatively uncommon. The precise location of the injury, the status of the main pancreatic duct, and the time between diagnosis and intervention are a potentially useful guide for management decisions. We report a successful endoscopic simple primary repair with the pancreatic preservation even with transected main pancreatic duct without duct stenting. Patients and Methods: Between May 2017 and December 2019, 3 patients with pancreatic trauma and duct transection underwent endoscopic (laparoscopic and robotic) repair. Demographics, operative data, postoperative complications, and clinical outcomes were documented and analyzed. Results: Three patients with pancreatic fractures, 2 patients with grade IV, and one patient grade III injury. The median age was 11 years, the median time of hospital admission after the trauma was 72 h. The median time of surgical intervention was 24 h. Average operative time was 160 min and the average hospital stay was 9 days with no recorded postoperative or follow up complications till now. Conclusion: Primary simple pancreatic repair is a promising and plausible technique for the management of pancreatic trauma, especially with duct transaction it maybe instead of all other modalities of pancreatic trauma treatment. We implore all pediatric surgery centers to espouse this technique.

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Cite the article

Takrouney MH, Bothara VP, Jahhav B, Osman MA, Ibrahim IA, Eltayeb AA, et al. Promising Technique for Traumatic Pancreatic Injury Management. Clin Surg. 2021; 6: 3300..