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Overview

Pancreatic necrosectomy is a surgical or minimally invasive procedure to remove dead (necrotic) tissue from the pancreas in patients with severe acute necrotizing pancreatitis. It is performed when infection, persistent symptoms, or complications develop despite medical management. This procedure helps control infection, relieve pain, and prevent life-threatening complications.

What is pancreatic necrosectomy?

It is a procedure to surgically remove dead or infected tissue from the pancreas caused by severe pancreatitis. The goal is to preserve as much healthy pancreatic tissue as possible while eliminating infection.

When is pancreatic necrosectomy needed?

It may be required if:

  • Necrotizing pancreatitis develops with infection
  • There is persistent abdominal pain, fever, or sepsis
  • Fluid collections or abscesses do not improve with drainage
  • Organ function is threatened due to severe inflammation
How is pancreatic necrosectomy performed?

There are different approaches:

  • Open necrosectomy: Traditional surgery through a large abdominal incision
  • Minimally invasive necrosectomy: Keyhole or laparoscopic approach
  • Endoscopic necrosectomy: Through the stomach or duodenum using an endoscope

The choice depends on the patient’s condition and extent of necrosis.

Is pancreatic necrosectomy safe?

Yes. While it is a high-risk procedure, it is considered the most effective treatment for infected pancreatic necrosis. Risks include bleeding, infection, fistula formation, or recurrence, but outcomes are good in experienced centers.

What is recovery like after pancreatic necrosectomy?
  • ICU care may be needed immediately after surgery
  • Hospital stay: 2–4 weeks depending on recovery
  • Nutritional support is often required (oral, tube, or IV feeding)
  • Full recovery may take several months
  • Long-term follow-up is essential to monitor pancreatic function (digestion, blood sugar control)
What are the outcomes of pancreatic necrosectomy?

In specialized centers, necrosectomy has good survival rates and significantly improves quality of life by controlling infection and restoring health. Some patients may need enzyme supplements or diabetes management afterward.

Call to Action

Suppose you or a loved one is suffering from severe pancreatitis with complications. In that case, the Gastrointestinal Surgery & Critical Care Team at Baby Memorial Hospital (BMH) provides advanced pancreatic necrosectomy procedures with expert surgical care, minimally invasive options, and comprehensive post-operative support.

👉 Book an Appointment Online or visit BMH to consult our gastrointestinal specialists.

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