Penetrating Duodenal Injuries — Our Experience
Keywords:Penetrating injury, duodenorrhaphy, gastrojejunostomy, Whipple’s procedure, duodenal fistula.
This prospective study was conducted over a period of two years from January 2000 to December 2001 in West Surgical Ward, Mayo Hospital, Lahore. Thirteen patients were admitted through Accident and Emergency Department with firearm and stab injuries of abdomen. All patients were male and underwent exploratory laparotomy. Seven (53.84%) patients had grade II duodenal injuries. Among surgical options duodenorrhaphy in two layers was carried out in 9 (69.23%) patients, pyloric exclusion ¡n 1(7.69%), Whipple’s procedure in 1(7.69%) patient. Major postoperative complications noted in the series were duodenal fistula in 2 (15.38%) and intra abdominal abscess in 2 (15.38%) patients. There were 3 (23.07%) deaths in the study.
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