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Abstract:
On the grounds of the experience with the treatment of 786 consecutive cases of acute pancreatitis and its complications and on the grounds of the experimental findings obtained in 1077 animals the author makes her comments on the therapeutic tactics in acute pancreatitis and its complications and on the grounds of the experimental findings obtained in 1077 animals the author makes her comments on the therapeutic tactics in acute pancreatitis. It has been found that the treatment of all the cases should start from an early and widely planned conservative therapy, while emergent surgical interventions in acute pancreatitis are undesirable. The volume of early and delayed surgical interventions is discussed. The author's attitude towards bursa omentalis tamponade, omentopancreatopexy, dissection of the abdominal posterior layer over the pancreas and towards the resection of the pancreas, in the absence of suppuration, is negative.