Principles of anatomically-supported decompressive dialysis therapy of the pancreas at severe necrotising pancreatitis

The objective of the research is to evaluate the effectiveness of retroperitoneum draining in surgical treatment of destructive forms of pancreatitis. Materials and Methods. We have developed a closed type method of retroperitoneum draining for surgical treatment of destructive forms of pancreatitis. Taking into account previously studied platelet materials of the pancreatic cellular space, we analyzed the efficacy of this method in 132 patients with acute destructive pancreatitis. Results. It was found out that the two-level arrangement of drainage pipes accelerated the necrotic mass outflow practically throughout all the retroperitoneum. It was shown that dialysis and decompression as a result of a closed type retroperitoneum draining in patients with necrotizing pancreatitis prevent further disease development, 2.8 times hasten the detoxification process and reduce postoperative lethality by 6 %. The use of measures for regional endoecological sanitation significantly improves the results of necrotizing pancreatitis surgery in comparison with traditional methods. Such measures also help to preserve structural integrity of the pancreas, thus, increasing the surgical treatment efficacy. Conclusions. The interstitial space of the pancreas can be drained using a closed method, and a retroperitoneum through drainage of a closed type in patients with pancreatic necrosis prevents the disease development.