Infection of pancreatic necrosis, although present in less than 10% of acute pancreatitis, carries a high risk of mortality; debridment and drainage of necrosis is the treatment of choice, followed by 'open' or 'close' abdomen management. We recently introduced the use of intra-abdominal vacuum sealing after a classic necrosectomy and laparostomy. Two patients admitted to ICU for respiratory insufficiency and a diagnosis of severe acute pancreatitis developed pancreatic necrosis and were treated by necrosectomy, lesser sac marsupialisation and posterior lumbotomic opening. Both of the patients recovered from pancreatitis and a good healing of laparostomic wounds was obtained with the use of the VAC system. Most relevant advantages of this technique seem to be: the prevention of abdominal compartment syndrome, the simplified nursing of patients and the reduction of time to definitive abdominal closure. © 2010 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

Intra-abdominal vacuum-assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis. Preliminary experience / Sermoneta, D.; Di Mugno, M.; Spada, P. L.; Lodoli, C.; Carvelli, M. E.; Magalini, S. C.; Cavicchioni, C.; Bocci, M. G.; Martorelli, F.; Brizi, M. G.; Gui, D.. - In: INTERNATIONAL WOUND JOURNAL. - ISSN 1742-4801. - 7:6(2010), pp. 525-530. [10.1111/j.1742-481X.2010.00727.x]

Intra-abdominal vacuum-assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis. Preliminary experience

Sermoneta D.
;
Martorelli F.;
2010

Abstract

Infection of pancreatic necrosis, although present in less than 10% of acute pancreatitis, carries a high risk of mortality; debridment and drainage of necrosis is the treatment of choice, followed by 'open' or 'close' abdomen management. We recently introduced the use of intra-abdominal vacuum sealing after a classic necrosectomy and laparostomy. Two patients admitted to ICU for respiratory insufficiency and a diagnosis of severe acute pancreatitis developed pancreatic necrosis and were treated by necrosectomy, lesser sac marsupialisation and posterior lumbotomic opening. Both of the patients recovered from pancreatitis and a good healing of laparostomic wounds was obtained with the use of the VAC system. Most relevant advantages of this technique seem to be: the prevention of abdominal compartment syndrome, the simplified nursing of patients and the reduction of time to definitive abdominal closure. © 2010 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
2010
Abdominal infection; Acute pancreatitis; Laparostomy; Negative pressure; VAC; Aged; Compartment Syndromes; Female; Humans; Male; Middle Aged; Negative-Pressure Wound Therapy; Pancreatectomy; Pancreatitis, Acute Necrotizing; Postoperative Care; Severity of Illness Index; Tomography, X-Ray Computed; Treatment Outcome; Wound Healing; Abdominal Cavity
01 Pubblicazione su rivista::01a Articolo in rivista
Intra-abdominal vacuum-assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis. Preliminary experience / Sermoneta, D.; Di Mugno, M.; Spada, P. L.; Lodoli, C.; Carvelli, M. E.; Magalini, S. C.; Cavicchioni, C.; Bocci, M. G.; Martorelli, F.; Brizi, M. G.; Gui, D.. - In: INTERNATIONAL WOUND JOURNAL. - ISSN 1742-4801. - 7:6(2010), pp. 525-530. [10.1111/j.1742-481X.2010.00727.x]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1445771
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