Pancreatic Necrosectomy – Surgical Management of Pancreatic Necrosis

Pancreatic Necrosectomy Intro

Pancreatic Necrosectomy is a surgical procedure used to remove dead or infected pancreatic tissue resulting from severe acute pancreatitis. It is usually performed when necrosis leads to infection or organ dysfunction. This procedure helps improve survival and reduce complications in critically ill patients.

Precise Surgical Removal of Necrotic Tissue

Pancreatic necrosectomy involves accessing the necrotic area through open surgery, minimally invasive techniques, or endoscopic approaches. Surgeons carefully remove the dead tissue while preserving as much healthy pancreas as possible. In many cases, endoscopic transgastric necrosectomy is performed using a flexible endoscope and specialized tools to debride the necrosis through the stomach wall. Alternatively, video-assisted retroperitoneal debridement (VARD) may be used in selected cases. Drainage catheters are often placed to remove residual fluid collections and prevent further infection. This step-by-step removal reduces inflammation and supports the patient’s recovery while minimizing damage to surrounding organs.

Key Medical Indications for Surgery 

• To treat infected pancreatic necrosis unresponsive to antibiotics
• To relieve pressure and inflammation caused by large necrotic tissue collections
• To prevent life-threatening complications such as sepsis or multiorgan failure
• To manage persistent symptoms like fever, abdominal pain, or vomiting

Products used in Pancreatic Necrosectomy

• Endoscopic Ultrasound (EUS) Scope
• Cystotome
• Lumen-Apposing Metal Stent (LAMS)
• Biliary Dilator
• Necrosectomy Forceps
• Endoscopic Drainage Catheter
• Irrigation Suction Cannula
• Guide Wire
• Stone Retrieval Basket 
• Nasocystic Drainage Tube

Countries with High Surgical Expertise 

• United States
• Germany
• Japan
• India
• South Korea

Clinical Advantages of Tissue Debridement 

• Effectively eliminates infected pancreatic tissue
• Reduces hospital stay and ICU complications
• Improves survival rates in severe pancreatitis
• Allows for minimally invasive treatment in selected cases
• Decreases the risk of recurrent fluid collections or organ damage

Advin Health Care is a globally recognized provider of advanced surgical and endoscopic products used in Pancreatic Necrosectomy, ensuring reliable outcomes and patient safety.

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+91-75037 27250 | gastrology@advinhealthcare.com | www.advinhealthcare.com