on the root of mesentery – indicative of pancreatic injury. Most injuries to the pancreas with no main pancreatic duct involvement may be successfully treated by adequate drainage alone and supportive therapy, including somatostatin and total parenteral nutrition. Only when the Virsung duct is transected are more complex and sophisticated surgical inter­vention is required – but this does not require defi­nitive primary surgery! The best solution to define the extent of the pancreatic injury is not to perform aggressive pancreatic exploration. Minor damage may be easily converted to the big problem! Simply looking at the pancreatic surface and minimal hae­matoma evacuation may provide the necessary in­formation about the next steps (Figure 10.17). If the pancreatic head is destroyed, drain it! If there is complete transection of the neck of pancreas is di­agnosed, close both pancreatic sides using a stapling device, or multiple U-stitches. Neither Whipple’s procedure nor distal pancreatectomy is re­commended!