Skip to main content

Laparostomy — Open Packing — for Infected Pancreatic Necroses

  • Conference paper
Standards in Pancreatic Surgery

Abstract

Acute necrotizing pancreatitis still poses a central problem for general surgery, mainly when infected pancreatic necroses have to be treated. In spite of all the progress — especially in intensive care medicine — and despite better findings in the field of pathogenesis, mortality is still up to 50% in literature reports. Only a few centers can report a mortality rate below 20% [2–4, 7, 8].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Bradley EL III, Murphy F, Ferguson C (1989) Prediction of pancreatic necrosis by dynamic pancreatography. Ann Surg 210:495–504

    Article  PubMed  Google Scholar 

  2. Bradley EL III (1990) The role of open packing in the management of infected pancreatic necrosis. In: Waclawiczek HW, Boeckl O, Pauser G (eds) The open packing — laparostomy — in pancreatitis and peritonitis. Springer, Berlin Heidelberg New York, pp 105–112

    Google Scholar 

  3. Büchler H, Beger HG (1990) Necrosectomy and continuous closed bursa lavage in necrotizing pancreatitis. In: Waclawiczek HW, Boeckl O, Pauser G (eds) The open packing — laparostomy — in pancreatitis and peritonitis. Springer, Berlin Heidelberg New York, pp 175–183

    Google Scholar 

  4. Chmelizek F, Waclawiczek HW (1985) Perioperatives interdisziplinäres Management bei der akut nekrotisierenden Pankreatitis. Anaesthesia 34:607–611

    CAS  Google Scholar 

  5. Crass RA, Meyer AA, Jeffrey RB et al. (1985) Pancreatic abscess: impact of computerized tomography on early diagnosis and surgery. Am J Surg 150:127–131

    Article  PubMed  CAS  Google Scholar 

  6. Körte W (1894) Zur chirurgischen Behandlung der Pankreas-Eiterung und Pankreas-Nekrose. Arch Klin Chir 48:720–724

    Google Scholar 

  7. Levy E, Frileux P, Fontaine E et al. (1988) Management of acute necrotizing pancreatitis with marsupialization, prolonged active drainage, and continuous enteral nutrition through the jejunostomy. A study of 80 cases. Neth J Surg 74:75

    Google Scholar 

  8. Waclawiczek HW, Boeckl O, Chmelizek F (1990) Interdisciplinary management in necrotizing pancreatitis. In: Waclawiczek HW, Boeckl O, Pauser G (eds) The open packing — laparostomy — in pancreatitis and peritonitis. Springer, Berlin Heidelberg New York, pp 113–123

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Waclawiczek, H.W., Chmelizek, F., Boeckl, O. (1993). Laparostomy — Open Packing — for Infected Pancreatic Necroses. In: Beger, H.G., Büchler, M., Malfertheiner, P. (eds) Standards in Pancreatic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77437-9_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-77437-9_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77439-3

  • Online ISBN: 978-3-642-77437-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics