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.
Hughes
C J
CJ
Department of Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Ramsey-Stewart
G
G
Storey
D W
DW
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