title: [Significance of peritoneal irrigation in the treatment of hemorrhagic necrotizing pancreatitis].
abstract: Irrigation of the peritoneal cavity proves reliable in the treatment of acute hemorrhagic necrotizing pancreatitis. Two different applications must be distinguished: peritoneal dialysis and postoperative irrigation and sump drainage. Peritoneal dialysis should be performed at the beginning of the disease and has the aim to overcome the serious--often deadly--early phase of pancreatitis. Irrigation and sump drainage is carried out after a previous necrosectomy is performed to wash out retained or new by developed necroses. This management shall prevent a late intoxication of the organism.
mesh_terms: D000208:Acute Disease; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D009336:Necrosis; D010179:Pancreas / Q000473:pathology*; D010180:Pancreatectomy; D010195:Pancreatitis / Q000628:therapy*; D010537:Peritoneum; D011182:Postoperative Care; D011379:Prognosis; D013396:Suction / Q000295:instrumentation; D007507:Therapeutic Irrigation / Q000295:instrumentation
vernacular_title: Die Bedeutung der Peritonealspülung für die Behandlung der hämorrhagisch-nekrotisierenden Pankreatitis.