scholarly journals Protection Provided by a Gabexate Mesylate Thermo-SensitiveIn SituGel for Rats with Grade III Pancreatic Trauma

Gut and Liver ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 156-163 ◽  
Author(s):  
Hanjing Gao ◽  
Qing Song ◽  
Faqin Lv ◽  
Shan Wang ◽  
Yiru Wang ◽  
...  
Keyword(s):  
Pancreatic Trauma ◽  
Gabexate Mesylate ◽  
Grade Iii

Extension of Nonoperative Management of Blunt Pancreatic Trauma to Include Grade III Injuries: A Safety Analysis

2009 ◽  
Vol 33 (8) ◽  
pp. 1611-1617 ◽  
Author(s):  
Giacomo Pata ◽  
Claudio Casella ◽  
Ernesto Di Betta ◽  
Luigi Grazioli ◽  
Bruno Salerni
Keyword(s):  
Nonoperative Management ◽  
Safety Analysis ◽  
Pancreatic Trauma ◽  
Blunt Pancreatic Trauma ◽  
Grade Iii

scholarly journals Predictors of successful non-operative management of grade III & IV blunt pancreatic trauma

2016 ◽  
Vol 10 ◽  
pp. 103-109 ◽  
Author(s):  
Suman B Koganti ◽  
Ravikanth Kongara ◽  
Sateesh Boddepalli ◽  
Naushad Shaik Mohammad ◽  
Venumadhav Thumma ◽  
...  
Keyword(s):  
Operative Management ◽  
Pancreatic Trauma ◽  
Blunt Pancreatic Trauma ◽  
Non Operative Management ◽  
Grade Iii

Non-operative versus operative treatment for grade III to V blunt pancreatic trauma in children

2012 ◽  
Author(s):  
Michael V Haugaard ◽  
Luit Penninga ◽  
Christian Gluud ◽  
Andre Wettergren
Keyword(s):  
Operative Treatment ◽  
Pancreatic Trauma ◽  
Blunt Pancreatic Trauma ◽  
Grade Iii

scholarly journals Establishment and evaluation of a Beagle model of grade�III pancreatic trauma

2018 ◽  
Author(s):  
Hanjing Gao ◽  
Qing Song ◽  
Faqin Lv ◽  
Bin Shi ◽  
Pengfei Wang ◽  
...  
Keyword(s):  
Pancreatic Trauma ◽  
Grade Iii

scholarly journals Successful nonoperative management by endoscopic and percutaneous drainage for penetrating pancreatic duct injury: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hiroki Kanno ◽  
Yusuke Hirakawa ◽  
Masafumi Yasunaga ◽  
Ryuta Midorikawa ◽  
Shinichi Taniwaki ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Percutaneous Drainage ◽  
Main Pancreatic Duct ◽  
Nonoperative Management ◽  
Pancreatic Head ◽  
Pancreatic Injury ◽  
High Grade ◽  
Pancreatic Trauma ◽  
Contrast Enhanced ◽  
Grade Iii

Abstract Background Pancreatic trauma is a rare condition with a wide presentation, ranging from hematoma or laceration without main pancreatic duct involvement, to massive destruction of the pancreatic head. The optimal diagnosis of pancreatic trauma and its management approaches are still under debate. The East Association of Surgery for Trauma (EAST) guidelines recommend operative management for high-grade pancreatic trauma; however, several reports have reported successful outcomes with nonoperative management (NOM) for grade III/IV pancreatic injuries. Herein, we report a case of grade IV pancreatic injury that was nonoperatively managed through endoscopic and percutaneous drainage. Case presentation A 47-year-old Japanese man was stabbed in the back with a knife; upon blood examination, both serum amylase and lipase levels were within normal limits. Contrast-enhanced computed tomography (CT) showed extravasation of the contrast medium around the pancreatic head and a hematoma behind the pancreas. Abdominal arterial angiography revealed a pseudo aneurysm in the inferior pancreatoduodenal artery, as well as extravasation of the contrast medium in that artery; coil embolization was thus performed. On day 12, CT revealed a wedge-shaped, low-density area in the pancreatic head, as well as consecutive pseudocysts behind the pancreas; thereafter, percutaneous drainage was performed via the stab wound. On day 22, contrast radiography through the percutaneous drain revealed the proximal and distal parts of the main pancreatic duct. The injury was thus diagnosed as a grade IV pancreatic injury based on the American Association for the Surgery of Trauma guidelines. On day 26, an endoscopic nasopancreatic drainage tube was inserted across the disruption; on day 38, contrast-enhanced CT showed a marked reduction in the fluid collection. Finally, on day 61, the patient was discharged. Conclusions Although the EAST guidelines recommend operative treatment for high-grade pancreatic trauma, NOM with appropriate drainage by endoscopic and/or percutaneous approaches may be a promising treatment for grade III or IV trauma.

scholarly journals Operative strategies in Pancreatic Trauma

2016 ◽  
Vol 20 (3) ◽  
Author(s):  
Nazir Ahmad ◽  
Khalid Javed Abid ◽  
Aamer Zaman Khan ◽  
Tahir Ahmad Shah
Keyword(s):  
Exploratory Laparotomy ◽  
Pancreatic Injury ◽  
Pancreatic Abscess ◽  
Abdominal Abscess ◽  
Pancreatic Trauma ◽  
Surgical Ward ◽  
Operative Complications ◽  
Operative Strategies ◽  
A Prospective Study ◽  
Grade Iii

A prospective study consisting of 16 patients was carried out in West Surgical Ward Mayo Hospital, Lahore from January 2001 to December 2002. All the patients having pancreatic injury alone or associated with other organ injuries detected on exploratory laparotomy were included in the study. There were 15 (93.75%) males and only one (6.25%) female patient in the study. Cause of injury in 11 (68.75%) patients was firearm, in three (18.75%) patients it was blunt trauma and stab in 2(12.50) patients. Four (25%) patients had grade III injury and five (31.25%) patients had grade V pancreatic injury. Distal pancreatectomy with splenectomy was done in seven (43.75%) and Whipple`s operation in six (37.50%) patients. Post-operative complications observed in the series were pancreatic fistula in two (12.50%), intra-abdominal abscess in two (12.50%), peri-pancreatic abscess in one (6.251%) and acute pancreatitis in one (6.251%) patient. There were four deaths in the series.

OPEN HAEMORRHOIDS SURGERY IN SPINAL CORD INJURY PATIENTS

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Anal Fissure ◽  
Open Surgery ◽  
Anal Fissures ◽  
Cord Injury ◽  
Long Term Follow Up ◽  
Grade Iii

This Pilot retrospective research conducted on the results of open surgery in patients with Grade III and IV haemorrhoids With SCI. No major complications had arisen at 6 weeks post-operative and all wounds had healed, but 1 patient Anal fissure recurrence. 75% of patients reported a substantial increase in anorectal anorexia during long-term follow-up. With symptoms. Five patients reported recurrences: three haemorrhoids (18 percent) and two anal fissures (25 percent).   Keywords: Haemorrhoids, Pilot retrospective research, Anorectal Anorexia.

Diagnosis and Management of Blunt Pancreatic Trauma in Children

2010 ◽  
Vol 10 (2) ◽  
Author(s):  
Edgars Zarembo ◽  
Arnis Engelis ◽  
Aigars Petersons
Keyword(s):  
Pancreatic Trauma ◽  
Diagnosis And Management ◽  
Blunt Pancreatic Trauma
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