stump of the pancreas
and jejunum, remaining part of the stomach and jejunum.
Operation for acute pancreatitis:
A) Indication Acute destructive pancreatitis with signs of
peritonitis
B) Aims:
To cease self-activation of the pancreatic enzymes and
autodigestion (self-destruction
Of the pancreatic tissue) To form a canal for outflow of the
pancreatic juice
To eliminate the inflammatory process in the hepatobiliary
tract
1.The patient lies on the back.
2. Endotracheal narcosis is administered.
3.The surgical approach is superior midline laparotomy .
4.This operation includes the dramage of the omental bursa
and catheterization
Of the right gastro-mental (gastroepiploic) artery.
Drainage of the omental bursa: Transperitoneal approach;
1.The gastrocolic ligament is dissected so that the stomach can
be moved upwards and the transverse colon downwards
2.At the beginning, 0.25% Novocain solution is administered to
the transversemesocolon and hepatoduodenal ligament.
3. The pancreatic capsule is not cut to prevent additional
trauma of the pancreas and generalized process.
4. 5 -6 gauze tampons and draining tube are put in the
omental bursa .
5.The gastrocolic ligament is then sutured and lined on the
parietal peritoneum.
Extraperitoneal approach:
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