17 Feb 2017

Laparoscopic Retroperitoneal Necrosectomy

32 year old male with ethanol induced acute necrotising pancreatitits
Had severe attack with multiorgan failure
ICU stay was more then 30 days with ventilatory support
Received broad spectrum antibiotcs, pigtail, tracheostomy
With all efforts from Gastroenterologist and Intencivist recovered
Operated for infective extensive pancreatic necrosis on day 38
Laparoscopic retroperitoneal approach was taken
Thorough necrosectomy and lavage done from right side
Diverting loop ileostomy made
Postoperative ICU stay was 4 days recovery was slow and steady
Discharged with all drains in situ

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