38 yrs male with Acute Necrotising pancreatitis
TLC ; > 18,000, & Fever...Pain in abdomen with distension and discomfort...
S/O Infected Pancreatic necrosis.
CECT:
|
Infected pancreatic necrosis inlasser saac, and retroperitoneum
going in mesentery and behind descending colon |
SURGERY: Total Retroperitoneoscopic necrosectomy
TIME : 3 hrs. BLOOD LOSS: 50 ML
1 Tray full necrosis & 500 ml of pus.
ICU STAY: 1 DAY ORAL DIET : From day 2.
Surgery:
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pre op left flank buldge |
|
main lesser sac cavity |
|
Infected necrosis |
|
Total baring of mesenteric vessels and removal
of necrosis |
|
drain placement |
|
necrotic material |
|
post op with just two drains |
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