RETROPERITONEAL FAT PHLEGMON DRAINAGE TECHNIQUE IN INFECTED PANCRENECROSIS

摘要

FIELD: medicine.;SUBSTANCE: invention concerns medicine and surgery. Pancreas is drained that is followed with sequestrectomy and pancreas abdomination to form omentobursostoma. It is combined with additional retroperitoneostoma that is ensured with oblique incision of skin, subcutaneous tissue, aponeurosis of abdominal external oblique muscle in left iliac region. Abdominal internal oblique muscle and transverse muscle of abdomen are split. Peritoneum is detached medially while retroperitoneal fat is uncovered to pancreas tail. Fascia of transverse muscle of abdomen is lined to aponeurosis and wound edges. Pancreas tail and small pelvis fat are drained. If extensive purulent process is observed in retroperitoneal fat and distributed to the right, retroperitoneal fat is additionally drained on the right forming retroperitoneostoma on the right similarly.;EFFECT: method allows for higher adequacy of retroperitoneal fat drainage ensured by retroperitoneostoma formation combined with reduced operative injuries.;7 dwg, 3 ex