What is open necrosectomy?

Indication Infected Pancreatic and/or peripancreatic necrosis Sterile necrosis with progressive clinical deterioration under Maximum Medical Tx : Controversial Massive hemorrhage or bowel perforation (colon, duodenum). Timing : “as late as possible” Preparation Empirical Antibiotic CT : for road map Prepare For massive Blood loss G/M PRC 4-6 u Invasive monitoring : Central line / Swan-Ganz catheter