Deciding on the Extent of Surgical Therapy

  • Giuseppe Papia
  • John C. Marshall


• The extent of source control intervention is guided by the nature of the infection and the stability of the patient, and tempered by an awareness of what will be required in the future. • The fundamental principles of source control include the drainage of abscesses or localized collections of infection, debridement of devitalized and necrotic tissue, and definitive management of foci of ongoing contamination. • The first priority in planning the extent of source control is to ensure adequate infection control; the second, to eliminate a source of ongoing contamination; and the third, to minimize the morbidity associated with future intervention. • The more extensive the initial intervention, the greater the challenge of subsequent reconstruction: the optimal intervention is that which accomplishes the source control objectives in the simplest manner.


Percutaneous Drainage Source Control Definitive Management Percutaneous Catheter Drainage Infected Pancreatic Necrosis 
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© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • Giuseppe Papia
  • John C. Marshall

There are no affiliations available

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