Acute necrotizing pancreatitis: management by planned, staged pancreatic necrosectomy/debridement and delayed primary wound closure over drains.
Publication/Presentation Date
5-1-1991
Abstract
We reviewed our recent experience with management of 23 consecutive patients with acute necrotizing pancreatitis. All patients had documented necrotizing pancreatitis with parenchymal or peripancreatic necrosis. Our method of treatment has evolved from our previous approach of controlled open lesser sac drainage (marsupialization) to staged necrosectomy/debridement with delayed primary closure over drains. With this latter approach, hospital mortality was 4 of 23 patients (17 per cent), but significant morbidity still occurred in 12 of 23 patients (52 per cent). However, recurrent intra-abdominal abscess before discharge occurred in only one patient. We believe that this operative approach toward the severely ill patient with acute necrotizing pancreatitis who requires operative intervention will minimize the occurrence of intra-abdominal sepsis.
Volume
78
Issue
5
First Page
576
Last Page
581
ISSN
0007-1323
Published In/Presented At
Sarr, M. G., Nagorney, D. M., Mucha, P., Jr, Farnell, M. B., & Johnson, C. D. (1991). Acute necrotizing pancreatitis: management by planned, staged pancreatic necrosectomy/debridement and delayed primary wound closure over drains. The British journal of surgery, 78(5), 576–581. https://doi.org/10.1002/bjs.1800780518
Disciplines
Medicine and Health Sciences
PubMedID
2059810
Department(s)
Department of Surgery
Document Type
Article