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Published in: Journal of Gastrointestinal Surgery 1/2021

01-01-2021 | Wound Debridement | Multimedia Article

Open Pancreatic Debridement in Necrotizing Pancreatitis

Authors: Thomas K. Maatman, Nicholas J. Zyromski

Published in: Journal of Gastrointestinal Surgery | Issue 1/2021

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Abstract

Introduction

The modern era of intervention in necrotizing pancreatitis (NP) has seen a significant paradigm shift toward minimally invasive approaches as initial therapy.

Methods

This video outlines the critical steps of OPD for NP.

Results

A 69-year-old female with acute biliary NP underwent OPD for NP after 12-weeks of medical management. Her postoperative course was uncomplicated, and she was discharged home on postoperative day seven. The patient recovered uneventfully.

Conclusion

Operative pancreatic debridement (OPD), now considered the final step in the modern treatment algorithm of NP, remains an important treatment strategy in NP.
Appendix
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Literature
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go back to reference Besselink M. The ‘step-up approach’ to infected necrotizing pancreatitis: delay, drain, debride. Dig Liver Dis. 2011;43:421-2.CrossRef Besselink M. The ‘step-up approach’ to infected necrotizing pancreatitis: delay, drain, debride. Dig Liver Dis. 2011;43:421-2.CrossRef
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go back to reference Horvath K, Freeny P, Escallon J et al. Safety and efficacy of video-assisted retroperitoneal debridement for infected pancreatic collections: a multicenter, prospective, single-arm phase 2 study. Arch Surg. 2010;145(9):814-25. Horvath K, Freeny P, Escallon J et al. Safety and efficacy of video-assisted retroperitoneal debridement for infected pancreatic collections: a multicenter, prospective, single-arm phase 2 study. Arch Surg. 2010;145(9):814-25.
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Metadata
Title
Open Pancreatic Debridement in Necrotizing Pancreatitis
Authors
Thomas K. Maatman
Nicholas J. Zyromski
Publication date
01-01-2021
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 1/2021
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-020-04732-1

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