Perioperative nursing management in video-assisted retroperitoneal debridement for severe acute pancreatitis with infected peripancreatic necrosis: a retrospective single-center case series of 41 patients - Report - MDSpire
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Perioperative nursing management in video-assisted retroperitoneal debridement for severe acute pancreatitis with infected peripancreatic necrosis: a retrospective single-center case series of 41 patients
Nursing Care Strategies During Perioperative Management of VARD
Overview
This report details the nursing care strategies implemented during video-assisted retroperitoneal debridement (VARD) for severe acute pancreatitis with infected peripancreatic necrosis. The study of 41 patients demonstrated low rates of nursing-sensitive complications and acceptable perioperative outcomes.
Background
Severe acute pancreatitis (SAP) complicated by infected peripancreatic necrosis (IPN) poses significant clinical challenges and high mortality rates. Minimally invasive techniques, such as VARD, are increasingly recognized for their potential to reduce surgical trauma and improve recovery. Understanding the perioperative nursing care associated with these procedures is crucial for optimizing patient outcomes.
Data Highlights
Parameter
Value
Mean Age
52.9 ± 10.6 years
Mean Operative Time
133.9 ± 26.1 min
Mean Blood Loss
92.0 ± 37.6 mL
Second Debridement Required
14.6%
Postoperative Intra-abdominal Hemorrhage
2.4%
Mean ICU Stay
10.1 ± 4.4 days
Mean Hospital Stay
34.9 ± 7.1 days
Key Findings
The cohort consisted of 41 patients, with a mean age of 52.9 years.
Mean operative time was 133.9 minutes, with minimal blood loss (92.0 mL).
Only 14.6% of patients required a second debridement.
Postoperative complications were low, with no new-onset organ failure or mortality.
Mean lengths of ICU and hospital stays were 10.1 days and 34.9 days, respectively.
Clinical Implications
The findings suggest that a standardized perioperative nursing protocol can lead to favorable outcomes in patients undergoing VARD for SAP with IPN. Emphasizing multidisciplinary team involvement and individualized patient care strategies may enhance recovery and reduce complications.
Conclusion
The study highlights the feasibility of a structured nursing approach in managing patients undergoing VARD, associated with low rates of complications. Further research is warranted to validate these findings in larger, controlled studies.
