Attainment Experience with Damage Control Surgery for Severe Pancreatic Trauma: 2 Case Reports

Chen Y, Xue X, Li R, Qi H, Xu X and Zhou S

Department of General Surgery, The 909th Hospital, School of Medicine, Xiamen University, China

^*Correspondance to: Song Zhou 

 PDF  Full Text DOI: 10.25107/2474-1647.3711

Abstract

Background: Pancreatic injury is relatively uncommon in abdominal trauma, and severe pancreatic injury is even rarer. Previous management strategies have changed on the basis of various factors, such as the precise site of injury, the degree of injury to the main pancreatic duct, and the time interval between diagnosis and intervention. We report two cases of successful simple one-stage repair and drainage. Even though the main pancreatic duct was transected, the pancreas was preserved without special treatment such as stent placement. Case Report: In one case, a 46-year-old woman was injured by an iron mold while working in a factory. She was conscious and had marked epigastric tenderness and was referred to our hospital 3 h later. The other patient was a 27-year-old young man who was rushed to our hospital because of a car accident. He was already delirious, and his vital signs were unstable. Conclusion: Therefore, early diagnosis and assessment of the integrity of the main pancreatic duct are necessary, and damage control surgery is undoubtedly the best choice for such severe pancreatic injuries. Based on our experience in the treatment of two patients with severe pancreatic injury, this paper intends to consider and analyze the significance of damage control surgery for severe pancreatic injury. And explore its advantages and disadvantages in the diagnosis and treatment of severe pancreatic injury, with a view to improving the level of surgical treatment for pancreatic injury.

Keywords

Severe pancreatic trauma; Damage control surgery; AAST-OIS

Cite the article

Chen Y, Xue X, Li R, Qi H, Xu X, Zhou S. Attainment Experience with Damage Control Surgery for Severe Pancreatic Trauma: 2 Case Reports. Clin Surg. 2024; 9: 3711.