Percutaneous minimal access approaches to pancreatic necrosectomy - a photo essay

Percutaneous necrosectomy begins with drainage of collections around the pancreas with radiologically guided drainage. It is done under local anasthesia

Ultrasound provides the ability to focus the drainage to the most prominent collection in the peripancreatic region. It also helps in avoiding the injuries to the spleen

Infiltrating with anasthetic solution

Needle puncture for the first catheter insertion

Fixation of the catheter

The incision is widened to removed teh larger necrotic pieces

Post necrosectomy lavage