Videoendoscopic Drainage of Infected Pancreatic Collections
Videoendoscopic Drainage of Infected Pancreatic Collections
The VARD (Videoendoscopic Assisted Retroperitoneal Drainage) approach as treatment for
 necrotizing pancreatitis proposes an alternative to standard complicated open abdomen
 treatment methods.

 This treatment involves making a small incision and looking inside the abdomen with a
 videoendoscope. A videoendoscope is an instrument with a small camera and light on the end.
 It also has an extension tool that the surgeon can use to clean out any dead and infected
 tissue in the abdomen.

 This approach may reveal a treatment opportunity with faster recovery potential and shorter
 hospitalizations for patients with necrotizing pancreatitis.
-  Pancreatic necrosis or peripancreatic fluid collection following acute pancreatitis
 noted on CT scan

 -  Infected pancreatic necrosis or pancreatic abscess and determined by + FNA (gram stain
 or culture), as defined by the Atlanta Symposium

 -  Not neutropenic or pregnant

 -  No prior necrosectomy

 -  No pancreatic pseudocyst, either sterile or infected