Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children

Table 1

Duodenal injury severity scale.

Grade	Injury
(I)	Hematoma involving single portion of wall; Laceration: partial thickness, no perforation
(II)	Hematoma involving more than 1 portion; Laceration: <50% circumference distribution
(III)	Laceration: disruption 50%–75% circumference of 2nd portion; Disruption 50%–100% circumference of 1st, 3rd, or 4th portions
(IV)	Laceration: disruption of >75% circumference of 2nd portion; Involvement of ampulla or distal common bile duct
(V)	Laceration: massive disruption of duodenopancreatic complex; Duodenal devascularization