Acute necrotizing pancreatitis: Management by planned, staged pancreatic necrosectomy/debridement and delayed primary wound closure over drains

M. G. Sarr, D. M. Nagorney, P. Mucha, M. B. Farnell, C. D. Johnson

Research output: Contribution to journalReview article

162 Scopus citations

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 I debridement with delayed primary closure over drains. With this latter approach, hospital mortality was 4 of 23 patients (17per 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.

Original languageEnglish (US)
Pages (from-to)576-581
Number of pages6
JournalBritish Journal of Surgery
Volume78
Issue number5
DOIs
StatePublished - May 1991

ASJC Scopus subject areas

  • Surgery

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