Journal of AdvancedMedical and Dental Sciences Research

Background: The management of pancreatic injury depends on the status of main pancreatic duct (MPD) and associated injuries. The present study was conducted to assess surgical management of pancreatic trauma in adult patients. Materials & Methods: 45 cases of traumatic pancreas of both genders were included. Parameters such as causes, associated extra-pancreatic injuries and classification of traumatic injury of the pancreas was done according to the American Association for Surgery of Trauma (AAST). Management of pancreatic injury was recorded. Results: Out of 45 patients, males were 28 and females were 17. Causes found to be penetrating trauma in 16, fall in 5 and RTA in 24 cases. AAST classificationgrade 1 was seen in 8, grade 2 in 20, grade 3 in 6, grade 4 in 5 and grade 5 in 6 cases. Associated extra-pancreatic injuries were duodenum injuryin 1, isolated pancreatic trauma in 6, liver and spleen injury in 2, vascular injury in 5 and extra-abdominal injury in 12 cases. The difference was significant (P< 0.05). Management performed was surgical drainagein 21, pancreatectomyin 19 and endoscopic treatment in 5 cases. Conclusion: Surgical management performed was surgical drainage, pancreatectomy and endoscopic treatment.