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Necrosectomy and continuous closed irrigation in infected hemorrhagic-necrotizing pancreatitis

general and visceral surgery

readingtime 25:09 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Opening of the Abdominal Cavity
Exploration and Debridement of Necrosis
Complete Opening of the Omental Bursa; Cholecystectomy
Drain Placement
Closure of the Abdominal Cavity

Authors

Date

date of publication: 09.07.2018
date of update: 06.09.2023

Opening of the Abdominal Cavity

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Median upper abdominal laparotomy with left-sided incision around the umbilicus. After opening the peritoneum, hemorrhagic ascites is evacuated. Upon insertion of the abdominal wall retractor, abundant blood clots are observed in the left upper abdomen.

Exploration and Debridement of Necrosis

First, aspiration of the ascites and removal of the clots. This reveals liquefied necrosis of the p

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general and visceral surgery

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After activation, you can expect the following content:

Opening of the Abdominal Cavity
Exploration and Debridement of Necrosis
Complete Opening of the Omental Bursa; Cholecystectomy
Drain Placement
Closure of the Abdominal Cavity