title: [Acute necrotizing pancreatitis and post-operative irrigation-lavage].
abstract: A series of 62 operated cases of acute necroto-hemorrhagic pancreatitis is presented along with discussion of the four principle objectives of surgical treatment: exposure, evaluation and selective resection of the lesions followed by close observation. Based on peroperative determination of anatomic site and macroscopic character, a double codification for each lesion is proposed. This codification provides the surgeon an objective basis for his choice of the type of procedure to be done. The surgery itself has a dual purpose: to eradicate frank necrosis and to protect the remaining tissue from autodigestion by installing one or more drains for irrigation and lavage of the lesion site. In the case of stage 3 necrosis, the procedure must include a left pancreatectomy of varying extent.
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D009336:Necrosis / Q000601:surgery; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*; D011184:Postoperative Period; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Pancréatite aiguë nécrosante et irrigation-lavage post-opératoire.