[Surgical care in duodenal injuries].

The authors observed 40 patients with an injury of the duodenum. Isolated injuries of the duodenum were diagnosed in 10 patients with a closed trauma and in 3 patients with penetrating wounds of the abdomen. Most frequent are injuries of the duodenum in combination with traumas of other organs of the abdominal cavity. Patients with injuries of the duodenum can be treated by surgical methods only. Methods of revision of the duodenum during laparotomy are described as well as the expedient surgical policy for injuries of the duodenum and postoperative complications. Clinical observations are presented. A conclusion is made that at the acute period of trauma in patients with multiple injuries of organs of the abdominal cavity and severe blood loss the operation of choice must consist in suturing the wound of the duodenum with the reinforcement of the suture with a portion of the greater omentum, decompression of the gut with a nasointestinal probe established distally to the suture on the duodenum and draining the retroperitoneal hematoma.