STEP 2Blunt dissection of necrotic tissue

All fluid collections (defined by CT images) must be opened and evacuated by suction.

Removal of necrotic pancreatic and peripancreatic fatty tissue accomplished by blunt digital dissection or careful use of instruments and irrigation is the goal; sharp dissection is specifically avoided specifically to prevent uncontrollable hemorrhage.

Necrotic tissue is systematically sought in the retroperitoneum behind the transverse, ascending, and descending colon, and down to Gerota's fascia; all areas of necrosis are removed by blunt dissection.

Necrotic tissue and fluid from the operation room are sent for culture.

After necrosectomy, the pancreatic area and the retroperitoneal cavity are irrigated generously with 4-10l of normal saline.

Blunt Dissection Pancreatitis

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook

Post a comment