Pancreaticocutaneous fistula
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Pancreaticocutaneous fistula is defined as output, through a percutaneous drain, drainage canal after removal of drains, or from a surgical wound, of any measurable volume of fluid with an amylase content > 3 times the serum amylase level
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Pancreatic insufficiency
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• Exocrine insufficiency is defined as an abnormal fecal elastase test or the need for oral pancreatic-enzyme supplementation to treat clinical symptoms of steatorrhea (not present before onset pancreatitis)
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• Endocrine insufficiency is defined as insulin or oral antidiabetic drugs required (not present before onset pancreatitis)
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Wound infection [9] |
Wound infection is defined as a superficial incisional surgical site infection (SSI) and must meet the following criterion:
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Infection occurs within 30 days after the operative procedure and involves only skin and subcutaneous tissue of the incision and the patient has at least 1 of the following:
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purulent drainage from the superficial/deep incision but not from the organ/space component of the surgical site
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organisms isolated from an aseptically obtained culture of fluid or tissue from the superficial incision
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at least 1 of the following signs or symptoms of infection: pain or tenderness, localized swelling, redness, or heat
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the superficial incision is deliberately opened by surgeon and is culture positive or not cultured. A culture-negative finding does not meet this criterion
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an abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathologic or radiologic examination
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diagnosis of superficial/deep incisional SSI by the surgeon or attending physician |