About Pancreatic Necrosectomy
Key Highlights
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Removes infected or dead pancreatic tissue to prevent life-threatening sepsis.Can be performed using minimally invasive techniques for reduced recovery time.Helps preserve remaining healthy pancreatic function.Alleviates severe abdominal pain and systemic illness caused by necrosis.Critical intervention to improve survival rates in severe necrotizing pancreatitis.
Who is this surgery for?
- Infected pancreatic necrosis confirmed by imaging (CT scan) and clinical signs of sepsis.
- Worsening organ failure despite maximum medical management and antibiotic therapy.
- Persistent symptoms or clinical deterioration in a patient with known necrotizing pancreatitis.
- Large, symptomatic walled-off pancreatic necrosis causing pain, gastric outlet obstruction, or jaundice.
- Suspected or confirmed hemorrhage within the necrotic collection.
How to prepare
- Comprehensive imaging, typically a contrast-enhanced CT scan, to map the extent of necrosis.
- Optimization of medical condition, including fluid resuscitation and management of organ failure.
- Administration of broad-spectrum intravenous antibiotics to control infection.
- Nutritional support, often via a nasojejunal tube or parenteral nutrition.
- Detailed discussion of risks, benefits, and surgical approach (minimally invasive vs. open).
- Pre-operative blood tests and cardiac/pulmonary clearance as needed.
Risks & possible complications
- Bleeding (hemorrhage) during or after the procedure.
- Injury to surrounding organs like the stomach, colon, or major blood vessels.
- Formation of a pancreatic fistula (leakage of pancreatic fluid).
- Development of new or persistent infection or abscess.
- Risk of diabetes or exocrine pancreatic insufficiency if significant gland is removed.
- Need for additional procedures or re-operation.
- General risks of surgery and anesthesia.
Recovery & hospital stay
- Initial recovery in the Intensive Care Unit (ICU) or high-dependency ward for close monitoring.
- Continued intravenous antibiotics and nutritional support until bowel function returns.
- Drain management; surgical drains are often left in place for several weeks to remove fluid.
- Gradual advancement to a low-fat, pancreatic diet as tolerated.
- Pain management with medications.
- Follow-up imaging (CT scans) to ensure resolution of necrosis and no new collections.
- Long-term follow-up to monitor for diabetes, digestive issues, and nutritional status.
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Typical hospital stay: 14-30 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering pancreatic necrosectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pancreatic necrosectomy in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform pancreatic necrosectomy. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for pancreatic necrosectomy compare across other countries where we have data.
Top hospitals for Pancreatic Necrosectomy in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing pancreatic necrosectomy.
Vivaan Shah, a 48-year-old restaurant owner...
Vivaan Shah, a 48-year-old restaurant owner and father of two, was known for his boundless energy. His life revolved around his family and his bustling Indian fusion restaurant. It began with severe, persistent abdominal pain that he initially dismissed as stress or indigestion. After a week of worsening pain, fever, and vomiting, his wife insisted he go to the ER. A CT scan revealed severe acute necrotizing pancreatitis, a complication of previously undiagnosed gallstones. A large collection of dead tissue (necrosis) had formed in his pancreas, causing infection and systemic illness. His surgeon, Dr. Chen, explained that his body couldn't reabsorb the dead tissue and it was becoming a source of severe infection. He recommended a minimally invasive pancreatic necrosectomy, using a small scope through his side to drain and remove the necrotic material, to avoid a major open surgery. Vivaan was terrified; his business was his livelihood and his family depended on him. The procedure itself was done under general anesthesia. Post-op, he had drainage tubes and required weeks of IV antibiotics and nutritional support in the hospital. The recovery was slow and humbling. He lost a significant amount of weight and strength. Emotionally, he grappled with frustration and vulnerability, feeling like a burden. However, after three months of gradual recovery, careful diet, and physical therapy, he began to regain his strength. He returned to work part-time, with a new appreciation for his health and a commitment to balance. The experience, while harrowing, deepened his connection with his family and made him prioritize his well-being alongside his ambitions.
General surgeons for Pancreatic Necrosectomy
Explore experienced general surgeons who regularly perform pancreatic necrosectomy and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore