[Surgical tactics, prophylaxis and treatment of complications at injuries of pancreas].
Results of surgical treatment of 93 patients (85 male, 8 female) aged 15 to 63 years with injuries of pancreas (IP) are analyzed. Stab-incised wound was the cause of IP at 59 patients, gunshot wound--at 3, closed abdominal trauma--at 31 patients. Organ-saving operations were the method of choice. Use of octreotid for the complex treatment of IP permitted to reduce the rate of postoperative suppurative inflammations from 57.1 to 29.5%, lethality--from 39.3 to 21.5%. It is revealed that trauma of pancreas at 94.6% patients associated with combined and multiple injuries of abdominal, pelvic and retroperitoneal organs, and characterized by great number of postoperative complications and lethality.
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D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries* / Q000601:surgery*; D010182:Pancreatic Diseases / Q000517:prevention & control* / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012187:Retroperitoneal Space / Q000293:injuries; D013396:Suction / Q000295:instrumentation; D015996:Survival Rate