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Vol. 18, Art. 35 (pp. 531-539)    |    2017       

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Modified fine-needle puncture peripancreatic anti-inflammatory blockade as a method of preventing infection of pancreatic necrosis

Valchinskaya A.B.1, Sinenchenko G.I.1, Goltcov V.R.2

1 The department of surgery doctors qualification improvement N2 FSBMEIHE "Military Medical Academy named after S.M. Kirov" the Ministry of defence of RF

2 "St. Petersburg scientific research Institute. I. I. Dzhanelidze"

Brief summary

To prove the effectiveness of a modified fine-needle puncture anti-inflammatory blockade of peripancreatic infiltration (PPI) (acute fluid сollection, аcute necrotic collection) for the purpose of prevention of pancreatic necrosis infection. A comparative study of patients receiving treatment for acute destructive pancreatitis of moderate severity with peripancreatic infiltration(acute fluid сollection, аcute necrotic collection) with and without use of a modified fine-needle puncture anti-inflammatory blockade of peripancreatic infiltration (acute fluid сollection, аcute necrotic collection) was provided in City Pancreatology Center of "St. Petersburg research Institute of emergency care named after I. I. Dzhanelidze" in the period of 2015 -2017. The use of a modified fine-needle puncture anti-inflammatory blockade of peripancreatic infiltration (?acute fluid сollection?, ?аcute necrotic collection?) with complex treatment of acute destructive pancreatitis promotes more rapid improvement of general condition of patients, reduces length of hospitalization, accelerates resorption of peripancreatic infiltration (?acute fluid сollection?, ?аcute necrotic collection?), reduces the frequency and infection of necrotic cysts (?acute pseudocyst?). The use of a modified fine-needle puncture anti-inflammatory blockade of peripancreatic infiltration (acute fluid сollection?, ?аcute necrotic collection?) for the purpose of prevention of pancreatic necrosis infection reduces risk of peripancreatic infiltration (PPI) (?acute fluid сollection?, ?аcute necrotic collection?) by 2.6 times. It also reduces the length of hospitalization by 1.5 times.


Key words

acute destructive pancreatitis, pancreatonecrosis, (infected pancreatic necrosis) peripancreatic infiltration (acute fluid сollection, аcute necrotic collection), anti-inflammatory blockade, prevention of infectious complications

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