Our experience in management of traumatic duodenal injuries in two tertiary hospitals in Egypt.

Abstract

Background: The management of duodenal trauma remains controversial. This research is to evaluate how we handleduodenal trauma with various methods to find the best approach, and to discuss the complications in patient outcomes.Patients and Methods: This retrospective study conducted from January 2014 to December 2023, a total of 64 individualswith abdominal trauma associated with duodenal injury were brought to the emergency departments of Tanta and BanhaUniversity hospitals. Operative techniques used for duodenal repair were recorded. All duodenal injuries were graded.Results: A sum of 64 individuals with duodenal injuries was found, and their ages varied from 18 to 62 years old. Therate of duodenal perforation was discovered to be much higher in males, with 79.7%. A total of 70 duodenal injurieswere found. Grade II was the most frequent grade, found in 39 (60.9%) patients. In this research, only three patients hadisolated duodenal injuries. Primary repair of duodenal perforation was the most performed procedure (28 (43.8%) cases).The average duration of hospital stay ranged from 4 to 39 days. Thirty-two (50%) patients experienced complicationsafter surgery. The predominant intra-abdominal complication was the development of a duodenal leakage in 11 (17.1%)patients. The mortality rate in our study was 10.9% with a total of 7 cases.Conclusion: Traumatic perforation of the duodenum is associated with high morbidity and mortality. Primary repairshould be the initial approach considered for most injuries. A future prospective study is necessary with a large group ofpeople; and more precise recommendations are necessary.