بررسي ميزان عوارض ناشي از تروماي پانكراس در مجروحين جنگ تحميلي

A Study of Incidence Rate of Pancreatic Trauma in Combatants of the Iraq-Iran War

War trauma has always been important in the advancement of traumatology. Pancreatic trauma management has always been under debate, since, different treatments have been discussed and dangerous complications has caused death in a great number of combatants. Many of the combatants with pancreas trauma die before reaching an advanced surgical center. In this study, we review cases of Iran-Iraq war combatants with different kinds of treatments for pancreatic trauma. From 1534 cases of war injuries in first, second, and third line hospitals, 35 cases of penetrating trauma to the pancreas have been recorded. The present retrospective descriptive study showed the following treatments had been used: hemostasis, external drainage, debridement, resection, suture and internal drainage. From the cases studied above, in the descending order the first complications are fistula and abscess formation (both 31.4%) and the others are hemorrhage 22.8%, peritonitis 8.5%, ascitis 5.7%, and pancreatitis 2.8%. These statistics do not show a significant difference compared with data given in textbooks and publications relevant to pancreatic trauma from low and high velocity injuries and less organic accompanying injuries treated in advanced surgical units.