Drainage of retroperitoneal liquid clusters at acute necrotizing pancreatitis management

Authors

  • I. I. Smachylo I. Horbachevsky Ternopil National Medical University
  • A. D. Bedenyuk I. Horbachevsky Ternopil National Medical University
  • I. V. Smachylo I. Horbachevsky Ternopil National Medical University
  • V. B. Dobrorodniy I. Horbachevsky Ternopil National Medical University
  • Yu. M. Futujma I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2019.4.10723

Keywords:

necrotizing pancreatitis, drainage of retroperitoneal clusters

Abstract

Acute pancreatitis is one of the most severe urgent surgical diseases. Its necrotic forms with a high mortality rate develop in about a quarter of patients with this disease. Therefore, our aim was to improve the results of surgical treatment of patients with purulent-septic complications of necrotizing pancreatitis by applying of minimally-invasive surgical interventions. The analysis of complex treatment of 37 patients with acute necrotizing pancreatitis during the period of purulent-septic complications with the spread of purulent peripancreatic clusters to the retroperitoneum was performed. After verifying the localization of clusters spread a trocar was inserted under the control of the ultrasound  machine by the "free hand" method. The distance to the cluster was from 4 to 12 cm. The drainage of fluid formation, abscess with introduction into its cavity of a drainage tube "Neloton" with a diameter of 12 Fr was performed. In case of ineffectiveness of the drainage function of this diameter, 17 (46 %) patients were drained with tube diameter of 20 Fr. The improvement of its evacuation capacity with the removal of large size sequesters was noted at using of this technique. This allowed to reduce the manifestations of the intoxication syndrome, the systemic inflammatory response syndrome and to prevent repeat laparotomy.

References

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Published

2020-01-11

How to Cite

Smachylo, I. I., Bedenyuk, A. D., Smachylo, I. V., Dobrorodniy, V. B., & Futujma, Y. M. (2020). Drainage of retroperitoneal liquid clusters at acute necrotizing pancreatitis management. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 126–128. https://doi.org/10.11603/2414-4533.2019.4.10723

Issue

No. 4 (2019)

Section

REPORTS

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