[Necrotizing pancreatitis: peritoneal lavage or bursa lavage? Results of a prospective consecutive controlled study].

: In 111 patients with necrotizing pancreatitis two different therapeutical procedures were applied since 1974 in addition to the surgical removal of necrotic tissue. In group I with 64 patients a continuous peritoneal lavage and in group II with 47 patients a local lavage of the lesser sac were performed. In case of extrapancreatic necroses and diffuse peritonitis peritoneal lavage was done additionally in 32 patients. Local lavage of the lesser sac, in some cases combined with peritoneal lavage, is the procedure significantly superior to peritoneal lavage alone.