Our experience in management of traumatic duodenal injuries in two tertiary hospitals in Egypt. | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1554-1561 PDF (503.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.299423.1107 | ||
| Authors | ||
| Ahmed A. Elshora* 1; Sherif M. Elkaffas2; Emad M. Abdelrahman2 | ||
| 1Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt | ||
| 2Department of General Surgery, Faculty of Medicine, Banha University, Banha, Egypt | ||
| Abstract | ||
| Background: The management of duodenal trauma remains controversial. This research is to evaluate how we handle duodenal trauma with various methods to find the best approach, and to discuss the complications in patient outcomes. Patients and Methods: This retrospective study conducted from January 2014 to December 2023, a total of 64 individuals with abdominal trauma associated with duodenal injury were brought to the emergency departments of Tanta and Banha University hospitals. Operative techniques used for duodenal repair were recorded. All duodenal injuries were graded. Results: A sum of 64 individuals with duodenal injuries was found, and their ages varied from 18 to 62 years old. The rate of duodenal perforation was discovered to be much higher in males, with 79.7%. A total of 70 duodenal injuries were found. Grade II was the most frequent grade, found in 39 (60.9%) patients. In this research, only three patients had isolated duodenal injuries. Primary repair of duodenal perforation was the most performed procedure (28 (43.8%) cases). The average duration of hospital stay ranged from 4 to 39 days. Thirty-two (50%) patients experienced complications after surgery. The predominant intra-abdominal complication was the development of a duodenal leakage in 11 (17.1%) patients. The mortality rate in our study was 10.9% with a total of 7 cases. Conclusion: Traumatic perforation of the duodenum is associated with high morbidity and mortality. Primary repair should be the initial approach considered for most injuries. A future prospective study is necessary with a large group of people; and more precise recommendations are necessary. | ||
| Keywords | ||
| Duodenal trauma; postoperative leakage; primary repair; pyloric exclusion | ||
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