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Title
1. Introduction
2. Surgical Approach
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a. Patient Positioning
b. Patient Preparation
3. Exchange Superior Drain for 30 French Sheath
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a. Enlarge Incision
b. Set Up and Align Fluoroscopy
c. Insert Super Stiff Amplatz Guidewire
d. Remove Drain while Maintaining Guidewire Access
e. Insert Balloon over Guidewire and Inflate
f. Advance 30 French Sheath over Balloon
g. Deflate and Remove Balloon
h. Confirm Placement in Necrotic Cavity and Remove Guidewire
4. Debridement of Necrotic Pancreatic Tissue
5. Remove Sheath and Replace Drain
6. Suture Drain
7. Drain Study to Examine Fistula
8. Exchange Inferior Drain for 30 French Sheath
9. Examination of Cavity for Necrotic Tissue
10. Remove Sheath and Replace Drain
11. Drain Study
12. Suture Drain
13. Post-op Remarks
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Pancreatic Debridement via Sinus Tract Endoscopy
Peter Fagenholz, MD
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Peter Fagenholz, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
1/14/2021
Article ID
250
Production ID
0250
Volume
2021
Issue
250
DOI
https://doi.org/10.24296/jomi/250