Daily Biophilia NLS-monitoring was performed

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One of the important components of acute pancreatitis severity estimation level for definition of treatment methods is the estimation of pathological process spread. In accordance with Savelieva V.S. spread classification (1989) the destructive pancreatitis is divided into limited and widespread.
As can be seen from the above, limited acute pancreatitis demands conservative and/or puncture-drainage treatment under the control of visualizing research methods; draining, and in some cases also suction operative interventions are necessary in case of extended pancreatitis. Within the limits of performed research the limited destructive pancreatitis (haemorrhagic, fatty and purulo-necrotic) was diagnosed in 31 (32,3 %) of cases, spread pancreatitis was diagnosed in 65 (67,7 %) of cases. In case of limited destructive pancreatitis the waiting surgical approach under daily Biophilia NLS-monitoring was performed, at progressing of destructive process (quantity and expansion increase of necrosis zones, presence of suppurative complication) 11 (35,5 %) patients were draining operated. In case of extended pancreatitis regular Biophilia NLS-monitoring of patients in 53 (81,5 %) of cases has shown the progression activity of pathological process which in 36 (67,9 %) of cases required draining operative measures, and in 17 (32,1 %) of cases it required stage sanitation of abdominal cavity and retroperitoneal space.