DAMAGE CONTROL AND DEFINITIVE SURGERY IN A CASE OF FATAL BLUNT TRAUMA ABDOMEN

  • Suvendu Maji Resident in Department of General Surgery, Institute of Postgraduate Medical Education & Research(I.P.G.M.E&R), Kolkata, WB
  • Makhan Lal Saha Professor, Department Of General surgery, I.P.G.M.E&R, Kolkata, WB, India
  • Kamal Singh Kanwar resident in Department of General Surgery, I.P.G.M.E. & R., Kolkata, WB, India
  • Soumen Das Assistant professor, Department Of General surgery, I.P.G.M.E&R, Kolkata, WB, India
Keywords: pancreaticoduodenal injury, pyloric exclusion, damage control surgery, superior mesenteric vein tear, hemoperitoneum

Abstract

Pancreaticoduodenal injuries are rare, life-threatening, and challenging to treat. Diagnosis is often delayed and needs a high index of suspicion. In spite of the best management outcome remains grim. The concept of Damage Control Surgery is well known and most of it comes from experiences in the battleground. It consists of treating the most serious injuries first, tackling infection, and leaving definitive surgery to a later date. We herein describe such a case where a young boy sustained serious life-threatening pancreaticoduodenal and vascular injuries, encountered by a surgeon bestowed with minimal facilities and little expertise, who aptly managed the case with damage control surgery, before referring him to us for definitive management. We conclude that damage control surgery and prompt referral to higher centers is a correct approach to the management of patients presenting at non-trauma/less equipped centers and must be practiced strongly.

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How to Cite
1.
Maji S, Saha ML, Kanwar KS, Das S. DAMAGE CONTROL AND DEFINITIVE SURGERY IN A CASE OF FATAL BLUNT TRAUMA ABDOMEN. Med. res. chronicles [Internet]. 2015Apr.15 [cited 2024Nov.22];2(2):217-21. Available from: https://medrech.com/index.php/medrech/article/view/74
Issue
Vol. 2 No. 2 (2015): Mar-Apr
Section
Case Report