Indications:
Chronic pancreatitis which is characterised by debilitating pain and pancreatic insufficiency (nutritional deficiency and glucose deregulation).
Procedure:
A midline incision is made over the abdomen. The diseased portions of the head of the pancreas are cored out and the pancreas is reattached to the small intestine.
- Unintended damage to adjacent structures
- Bleeding, pancreatic fistula, and intra-abdominal abscess
- Pulmonary infection
After your consultation:
- Obtain authorization from your medical aid and book your bed for your hospital admission
- Carefully read through pre-operative information provided
Day before surgery:
- Do not eat after 22h00, the night before your surgery, unless otherwise specified by your surgeon or anaesthetist (you should be fasting for at least 6 hours before the procedure for solids but you are allowed to take clear liquids up to two hours before your procedure).
Day of surgery:
- Arrive for admission at indicated time on ‘Code & Consent’ sheet
- Change into theatre attire, remove all valuable belongings
Approximately 3-4 hours
Duration of hospital stay:
- Usually 3 – 4 days (dependent on post-operative progress of patient)
Activities:
- Returning to exercise will not be permitted up until at least 6 weeks post operatively
Back to work:
- Sick leave required post-operatively is approximately 2 – 4 weeks
Some pain and discomfort post operatively may be expected following any operation, but the following measures are used to lessen the pain experienced:
- Warming devices in theatre as well as warm intravenous fluids
- Intra-operative pain medication through the drip.
- Small catheters will be placed in the wound bed which will continuously release pain relief.
- Post-operative medication through the drip, please inform the nurses if you are in pain so that medication will be administered to you.
- As close to one week after discharge as possible. Please contact the rooms to schedule an appointment.
More procedures performed by Dr Jeske
A SKIN INCISION IS MADE AND THE CONTENTS OF THE ABSCESS IS DRAINED.
THE FISTULA TRACT IS IDENTIFIED AND IS OPENED ALONG ITS LENGTH, AND THE EXPOSED INSIDE OF THE TRACT IS THEN CLEANED OUT.
AN OPERATION TO REMOVE AN APPENDIX THAT IS INFLAMED/SWOLLEN/HAS RUPTURED/HAS FORMED AN ABSCESS.
THE COMMON BILE DUCT (CBD – THE MAIN TUBE CARRYING BILE FROM THE LIVER TO THE INTESTINE) IS OPENED UP. ANY GALLSTONES WITHIN THE DUCT CAUSING A BLOCKAGE CAN BE REMOVED.
PTC is a procedure performed by a radiologist (specialist X-ray doctor) who takes X-ray pictures of the bile ducts which are tubes inside the liver.
