Median upper abdominal laparotomy with left-sided incision around the umbilicus. Upon opening the peritoneum, hemorrhagic ascites is released. After placing the abdominal wall retractor, abundant blood clots are observed in the left upper abdomen.
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Opening of the Abdominal Cavity
Soundsettings -
Exploration and Debridement of Necrosis
Soundsettings First, aspiration of ascites and removal of clots. This reveals liquefied necrosis of the pancreas and peripancreatic tissue. There has been digestion and perforation of the gastrocolic ligament in the area of the gastric corpus. After taking a swab, the necrosis is debrided, and extensive lavage is performed.
Note:
Since necrotizing pancreatitis usually represents a "superficial" necrosis of the organ and central parts of the pancreas are mostly vital, significant experience may be necessary to perform the procedure comprehensively without inducing bleeding or resecting functional tissue.
Complete Opening of the Omental Bursa; Cholecystectomy
The omental bursa is completely opened by transecting the remaining gastrocolic ligament between Ov
The omental bursa is completely opened by transecting the remaining gastrocolic ligament between Ov
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