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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Favourable prognosis after surgical drainage of gunshot, stab or blunt trauma of the pancreas
British Journal of Surgery, Volume 82, No. 9, Year 1995
Notification
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Description
The records of 152 patients with pancreatic injury treated over a 5‐year period were reviewed. The diagnosis was made at laparotomy in all patients. Gunshot wounds, stab wounds and blunt trauma occurred in 63, 66 and 23 patients respectively with mean ages of 28, 28 and 30 years. Multiple organ injury was most common after gunshot wounds. Intraoperative management was by drainage of the pancreatic injury site alone in the majority of patients in all aetiological groups. The rate of fistula formation was 14 per cent after gunshot wounds, 9 per cent after stab injury and 13 per cent after blunt trauma. Death occurred after 24 h in 8, 2 and 10 per cent of patients following gunshot wounds, stab wounds and blunt trauma respectively, and was attributable to other organ damage. It is concluded that gunshot injury to the pancreas may be more extensive than other injuries, but conservative management with surgical drainage of pancreatic injury is justified irrespective of the mechanism of injury. Copyright © 1995 British Journal of Surgery Society Ltd.
Authors & Co-Authors
Madiba, Thandinkosi Enos
South Africa, Durban
University of Kwazulu-natal
Mokoena, Taole R.
South Africa, Durban
University of Kwazulu-natal
Statistics
Citations: 65
Authors: 2
Affiliations: 1
Identifiers
Doi:
10.1002/bjs.1800820926
ISSN:
00071323
e-ISSN:
13652168
Research Areas
Health System And Policy
Violence And Injury