R.A. YAKUBOV¹, D.A. BEKETOV¹, I.V. KHALTURIN¹, A.Yu. ANISIMOV²

¹Emergency Hospital, 18 Naberezhnochelninsky Pr., Naberezhnye Chelny, Russian Federation, 423800

²Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

Yakubov R.A. ― Head of the Vascular Surgery Department, tel. +7-917-243-37-26, e-mail: [email protected]

Khalturin I.V. ― surgeon of the Surgery Department №2, tel. +7-986-934-69-44, e-mail: [email protected]

Beketov D.A. ― surgeon of the Surgery Department №1, tel. +7-987-287-03-88, e-mail: [email protected]

Anisimov A.Yu. ― D. Med. Sc., Professor, Head of the Department of Emergency Medical Aid, Medicine of Catastrophes and Mobilization Training, tel. +7-987-297-16-54, e-mail: [email protected]

 Critical analysis has been conducted of the first clinical results of the treatment of 8 patients with pancreatogenic sepsis by inclusion of the NPWT method as an alternative to traditional omentobursostomy. The disadvantages of NPWT method include the development of petechial and arosive bleeding in 12.5%, the occurrence of intestinal fistula in 12.5% of clinical observations. Today, it is still not clear if the NPWT method will occupy its firm position in the treatment algorithm of patients with pancreatogenic sepsis. The data obtained in the course of literature search and analysis of own clinical experience using the method of negative pressure therapy, indicate the need to confirm the initial clinical results in further comparative randomized controlled trials.

Key words: infected pancreatic necrosis, negative pressure method, NPWT, pancreatogenic sepsis, surgical treatment.

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