Retroperitoneal Tissue Contrast Examination in Different Types of Acute Destructuve Pancreatitis
Acute destructive pancreatitis refers to severe surgical,pathology with high mortality. Destructive changes in this case cover both adjacent and distant cellular structures. The aim of the study was to achieve a more accurate summing up of the liquid contrast agent to the tissues of the retroperitoneal space affected by the purulent-necrotic process. We have developed a method that involves the use of a special device developed with a metal goniometer with a gradation of up to 180° with clamps to fix the syringe with a needle. Depending on the Constitution and the nature of the power surveyed syringe with a needle is fixed in the device at an angle of 40° to 50°. The paper presents the results of contrast study of retroperitoneal tissue localization using the proposed device. The results of 63 cases of retroperitoneal space contrast through the right and left lumbar regions are considered. The use of the proposed method of contrast retroperitoneal fiber, taking into account the Constitution and the nature of nutrition allows more accurately determine the variant of the pancreas and adjacent adipose tissue. The previously proposed methods of retroperitoneal fiber puncture in acute destructive pancreatitis (ADP) did not fully take into account the Constitution and the nature of nutrition of the subjects. A significant number (35%) patients have an increased body mass, especially among normastenics and hiperstenics (91,4%). In the technique of bringing the contrast into the retroperitoneal tissue, the Constitution and the nature of the food of the subject should be provided, since this determines the angle of fixation of the needle in the device and the depth of its advancement. Puncture through the right lumbar region was carried out at I and II, through the left lumbar region - at III and IV types of ADP. In type V of ADP, purulent necrotic lesions often covered the right and left parts of retroperitoneal tissue equally