The authors present a group of 49 patients operated on account of acute necrotizing pancreattis in 1990-1999. They describe the indications and methods of treatment. The principle of treatment was careful necrosectomy with an additional procedure which involved rinsing and drainage of the omental bursa, laparostomy ("open packing") or a combination of both methods. They re-operated 20 patients where they performed a total of 57 re-operations. Fifteen patients died (30.6%) which according to the literature corresponds to the mortality quoted in this group of the most severely affected patients.
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