Debridement and removal of the necrotic tissue (necrosectomy) is done bluntly with the fingers or with a sponge. It is important to break into all the recesses of the cavity as guided by the CT to thoroughly remove the debris and necrotic material, a sample of which should also be sent to bacteriology. Any firm attachments should be clamped and tied or left alone.
The pancreas can be discerned from peripancreatic tissues often only on the basis of its location and consistency. Resection of the pancreas should be done carefully and only if the CT shows pancreatic parenchymal necrosis.
After completing the necrosectomy/debridement, the pancreatic bed is irrigated with several liters of normal saline.
Was this article helpful?
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.