[Laparostomy in the treatment of pancreatic abscess. A case report]

Translated title of the contribution: [Autom. eng. transl.] [Laparostomy in the treatment of pancreatic abscess. A case report]

Fabio Pacelli, Rocco Domenico Alfonso Bellantone, D Frontera, Gb Doglietto, F. Crucitti

Research output: Contribution to journalArticle

Abstract

Pancreatic abscess is a major cause of death from acute pancreatitis; its reported frequency is between 1.7 and 25 per cent of all patients presenting with acute pancreatitis. The mortality varies between 13 and 54 per cent. Despite apparently adequate initial surgical treatment, the recurrence rate is about 30 per cent. The key to survival in pancreatic abscess is adequate drainage of cavity. Proponents of open treatment claim that it allows better drainage of the viscid content of the pancreatic abscess which often cannot easily pass down a drain. In the present case, following laparotomy for severe intra-abdominal sepsis due to pancreatic abscess, the abdominal cavity was left open to heal by granulation. The procedure permitted early resolution of the septic process. Total parenteral nutritional support resulted in definitive wound healing. We regard laparostomy as a valuable technique in the management of pancreatic abscess; the successful of this technique hinges on expert nursing care and the capability of maintaining complication-free long term parenteral nutrition.
Translated title of the contribution[Autom. eng. transl.] [Laparostomy in the treatment of pancreatic abscess. A case report]
Original languageItalian
Pages (from-to)607-607-10; discussion 611
JournalANNALI ITALIANI DI CHIRURGIA
Volume61
Publication statusPublished - 1990

Keywords

  • Abscess
  • Combined Modality Therapy
  • Female
  • Humans
  • Laparotomy
  • Middle Aged
  • Pancreatic Diseases
  • Postoperative Care
  • Postoperative Complications

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