Luis Alberto Barreda Cevasco

Jefe Delaware DEl Servicio Delaware DE Cirugía Delaware DE Emergencia 4b Delaware DEl Hospital Nacional Edgardo Rebagliati Martins

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Keywords

  • methods surgery

  • pathology methods surgery

Summary Information

  • Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú (2)
10,066,017
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Sources

[Surgical technique for the treatment of the serious acute necrotic pancreatitis in the National Hospital Edgardo Rebagliati Martins]
(2003)
Journal - Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú (Peru )

Abstract :

A surgical technique for the treatment of severe acute pancreatitis with necrosis is presented as an alternative in the surgical treatment of this pathology; 60 patients underwent a surgery by the author et al. between October 1997 and January 2002, at the National Hospital Edgardo Rebagliati Martins, Lima, Peru. The mortality rate was 25%.

ISSN : 1022-5129
Mesh Heading : Drainage Hospitals, Public Humans Necrosis Pancreas Pancreatectomy Pancreatitis, Acute Necrotizing Parenteral Nutrition, Total Reoperation methods pathology mortality mortality pathology
Mesh Heading Relevant : methods surgery
[Surgical treatment of pancreatic necrosis at Edgardo Rebagliati Martins National Hospital]
(2002)
Journal - Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú (Peru )

Abstract :

We present a review of 41 cases of severe acute pancreatitis with pancreatic necrosis. This study was based on the use of closed surgery technique with continuous irrigation and rescheduled relaparatomies. The study was divided into two stages: the first one with 20 patients with no work protocol and the second one with 21 patients with a "strict protocol". The post-surgical morbility and the mortality were evaluated. There were 21 male patients and 20 female patients. The predominant etiology was the related to the biliary tract. The Ranson and APACHE II criteria had no predictive value for mortality, which showed a decreased rate during the second stage of the study. Furthermore, the protocol used in the two stages and the surgical technique used on the 41 patients have been described, as well as the severity of pancreatitis and the surgical indications in each case. We conclude that a "strict protocol" of pre-operative management and puncture with a pre-operative fine needle -in combination with the surgical technique proposed- significantly decreases the mortality due to severe acute pancreatitis.

ISSN : 1022-5129
Mesh Heading : Adult Aged Aged, 80 and over Alcoholism Anti-Bacterial Agents Biliary Tract Diseases Biopsy, Needle Case Management Ciprofloxacin Combined Modality Therapy Drug Therapy, Combination Female Humans Intensive Care Irrigation Laparotomy Male Metronidazole Middle Aged Necrosis Pancreas Pancreatectomy Pancreatitis Parenteral Nutrition, Total Peru Postoperative Complications Prognosis Retrospective Studies Treatment Outcome complications complications therapeutic use therapeutic use therapeutic use statistics & numerical data etiology mortality epidemiology epidemiology
Mesh Heading Relevant : pathology methods surgery


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