Sequential laparotomy and zipper closure in the management of gross peripancreatic sepsis.
Four cases of gross peripancreatic sepsis have been managed with repeated laparotomies and packing of the lesser sac. A zipper was used for abdominal closure in three patients and the abdomen was left open in one. Sequential laparotomy enabled repeated debridement of non-viable pancreatic and peripancreatic tissue and prevented intra-abdominal septic accumulations. An additional benefit of this technique was the frequent detection and correction of clinically unsuspected complications of the septic abdomen.
Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
C J
CJ
Hughes
G
G
Ramsey-Stewart
D W
DW
Storey
D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000328:Adult; D000368:Aged; D003646:Debridement / Q000379:methods; D004322:Drainage; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010179:Pancreas; D010195:Pancreatitis / Q000150:complications*; D010533:Peritoneal Lavage / Q000379:methods; D019736:Prostheses and Implants; D013536:Suture Techniques