A NEW TECHNIQUE FOR REPAIRING A BLUNT INJURED DUODENUM

Repairing a blunt injured duodenum remains a problem for surgeons beca use of the difficulty in early diagnosis, associated organ. injuries, and frequent anastomotic site leakage. We have devised a simpler and s afer procedure for transecting the ligament of Treitz and performing a debridement of the duodenum The duodenum is freed and exposed by tran secting the ligament of Treitz. The injured site is then resected with appropriate debridement. The remnant stumps of the duodenum and the j ejunum are anastomosed The advantages of our method are less invasion, a more physiologic state, and no retention of food in the repaired du odenum. This technique reduces tension in. the repaired wound and also reduces mortality and morbidity.