A COMPARATIVE EFFICIENCY ANALYSIS OF INTEGRATED TREATMENT OF PANCREANECROSIS, DEPENDING ON THE NATURE OF THE CRITICAL CARE AND SURGICAL TACTICS.
Retrospective efficiency analysis of comprehensive treatment of pancreatic necrosis, depending on the nature of the critical care and surgical tactics. The study included 70 patients with severe acute pancreatitis. The main difference in the intensive therapy was applied for the treatment of patients of the core group of early targeted therapy and prophylaxis in the first 6:0 since the verification of diagnosis of severe acute pancreatitis. It is established that the application of the Protocol for early targeted therapy with destructive pancreatitis warns spread of necrosis and clinical, morphological forms in common pancreatic necrosis (p = 0.007); reduces the risk of infection and purulent-septic complications (p = 0.05). Early targeted therapy of sepsis in combination with using minimally invasive surgical techniques promotes more rapid reduction of the severity of the condition in acute pancreatitis (P=0,015). The effectiveness of treatment is increased when using minimally invasive surgical techniques reduces the need for repeated surgical interventions in 2 times.