Staging of surgical care for acute destructive pancreatitis


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Abstract

Treatment results for acute destructive pancreatitis were analyzed. Effi ciency treatment staging for acute destructive pancreatitis is shown. If conservative treatment was ineffective for 1-3 days, indications for surgical treatment were applied. Half-opened method was used (laparotomy, necrosequestrectomy, omentobursostomy, lumbotomy); opened method was used for extended pyo-necrotic complications with development of purulent peritonitis (laparostomy). Our differentiated approach to the choice of drainage methods, combined with adequate antibacterial treatment allowed to reduce mortality from 40,3% to 18,53%. That is why we can suggest that our staged method is effective for treatment of acute destructive pancreatitis in agrarian region. Multistage treatment tactics for pyo-necrotic pancreatitis allows controlling adequately infl ammation process in pancreas and abdomen.

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Ставропольская государственная медицинская академия

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Email: admin@vestnik-surgery.com
доктор медицинских наук, профессор, заведующий кафедрой хирургических болезней и эндохирургии ФПДО Ставропольской государственной медицинской академии

Ставропольская государственная медицинская академия

Email: admin@vestnik-surgery.com
кандидат медицинских наук, ассистент кафедры хирургических болезней и эндохирурги ФПДО Ставропольской государственной медицинской академии

Ставропольская государственная медицинская академия

Email: admin@vestnik-surgery.com
кандидат медицинских наук, ассистент кафедры хирургических болезней и эндохирурги ФПДО Ставропольской государственной медицинской академии

Ставропольская государственная медицинская академия

Email: admin@vestnik-surgery.com
аспирант кафедры хирургических болезней и эндохирургии ФПДО Ставропольской государственной медицинской академии

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