scholarly journals Presentation and postoperative outcomes of residual cavity of liver hydatid cyst

2019 ◽  
Vol 6 (8) ◽  
pp. 2736
Author(s):  
Akram N. Dahel ◽  
Labeed Saadallah Abdulkareem
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Ultrasound ◽  
Hydatid Cysts ◽  
Related Complication ◽  
Simple Closure ◽  
Liver Hydatid Cyst ◽  
Residual Cavity ◽  
Male Patients ◽  
A Prospective Study

Background: Hydatid disease is endemic in the Mediterranean region, the Middle East and South America. The aim of the study was to follow up the fate of residual liver hydatid cysts cavities after surgery.Methods: From the period of April 2014 to April 2017 a prospective study was conducted on sixty patients who were admitted to Fallujah Teaching Hospital for surgery of hydatid cyst of the liver. There were 36 female and 24 male patients who were followed up by serial abdominal ultrasound examinations at three monthly intervals for a period of up to two year.Results: Complete involution of the hydatid cavities occurs more in those treated by omentoplasty and simple closure and complications are lower than those treated by external drainage.Conclusions: Characteristics of liver hydatid cyst and the type of surgical treatment can be considered as a determinant of postoperative cavity related complication.

Non-Capitonnage Method for Surgical Treatment of Lung Hydatid Cysts

2005 ◽  
Vol 13 (1) ◽  
pp. 20-23 ◽  
Author(s):  
M Nesimi Eren ◽  
Akin E Balci ◽  
Şevval Eren
Keyword(s):  
Hydatid Cyst ◽  
Suture Material ◽  
Late Complication ◽  
Good Alternative ◽  
Significant Morbidity ◽  
Hydatid Cysts ◽  
Air Leak ◽  
Residual Cavity ◽  
Lung Hydatid

Capitonnage is usually advocated for obliteration of the residual cavity after removal of a hydatid cyst. To assess a non-capitonnage method, results in 33 patients were compared with those of 80 patients who had capitonnage. The non-capitonnage patients had a shorter mean hospital stay and earlier radiologic improvement but higher morbidity than the capitonnage patients. Extended air leak caused significant morbidity in each group. Bronchoscopic intervention was needed for atelectasis in 1 patient. There was no mortality in either group. In the follow-up period, no late complication or recurrence was observed in non-capitonnage patients. Among the capitonnage patients, 2 had bronchiectasis, and suture material expectoration occurred in one. The non-capitonnage method may be a good alternative to the capitonnage procedure for lung hydatid cyst. Better management of bronchial openings should improve the results of the non-capitonnage method.

scholarly journals Successful Management of a Huge Pulmonary Hydatid Cyst with Lung-Preserving Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Armin Amirian ◽  
Bizhan Ziaian ◽  
Amirhossein Erfani ◽  
Reza Shahriarirad ◽  
Keivan Ranjbar
Keyword(s):  
Hydatid Cyst ◽  
Lower Lobe ◽  
Hydatid Cysts ◽  
Successful Management ◽  
Lung Expansion ◽  
One Year ◽  
Pulmonary Hydatid Cyst ◽  
Lung Resections ◽  
Lung Hydatid

The lung is the second most commonly involved organ in humans by hydatid disease. Management of large pulmonary hydatid cysts is a great challenge for thoracic surgeons. Lung resections should be considered the last choice for huge pulmonary hydatid cysts when the lung expansion is not optimal after cyst removal. Here, we present a case of huge lung hydatid cyst involving the entire right lower lobe which was successfully managed by lung-preserving surgery in which the postoperative course showed gradual resolution of the involved lobe during a one-year follow-up.

scholarly journals Surgical and anesthetic management of primary dumbbell shaped spinal hydatid cyst in lumbar vertebra: A rare case report

2021 ◽  
Vol 3 (3) ◽  
pp. 89-92
Author(s):  
Anuj Kumar Tripathi ◽  
Zahwa Rizwan ◽  
Shagfta Tahir Mufti ◽  
Saurabh Pathak ◽  
Om Prakash Gupta ◽  
...  
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Anesthetic Management ◽  
Lumbar Vertebra ◽  
Hydatid Cysts ◽  
Cystic Hydatid Disease ◽  
Rare Case Report ◽  
Cystic Hydatid ◽  
Significant Health

Hydatid cyst is a very significant health problem in India. As recorded in the literature, majority of hydatid cysts are found in the liver followed by the lungs with an incidence rate of 60-70% and 10-15% respectively. Cystic hydatid disease in bones is seen in less than 4% of cases, with majority presenting in the spine. In this case report we have discussed primary intraspinal extradural hydatid cyst with paravertebral extension (dumbbell shaped) in lumbar vertebra which is a rarity. The diagnosis was established intraoperatively based on the findings with a follow up and review of literatures, along with its management.

scholarly journals Clinical profile and surgical management of primary vaginal hydrocele: our experience in a rural India

2017 ◽  
Vol 4 (5) ◽  
pp. 1653
Author(s):  
Mohd Hamid Shafique Ahmed ◽  
Bankar S. S. ◽  
Gosavi V. S. ◽  
Dalavi S. B. ◽  
Gurav P. D.
Keyword(s):  
Wound Infection ◽  
Surgical Management ◽  
Surgical Procedures ◽  
Clinical Profile ◽  
Medical College ◽  
History Of ◽  
Male Patients ◽  
A Prospective Study ◽  
Age Range

Background: Hydrocele is one of the commonest diseases occurring worldwide. Since olden days surgical procedures have been described for the treatment of hydrocele. Aim of the study was to analyse the clinical profile, diagnosis and surgical management of primary vaginal hydrocele in adults (>12 years)Methods: A prospective study of 60 male patients of age range of more than 12 years with a history of scrotal swellings were studied for their clinical profiles, diagnosis and management. The study was carried out in Government Medical College, Miraj, Maharashtra, India from November 2010 to November 2012. In the present study Jaboulay's Procedure was performed on 48 patients and Lord's Procedure was performed on 12 patients.Results: The data was collected and results were analysed. Post-operatively about 1.6% of patients developed hematoma, 5% developed wound infection, 21.66% of the patients developed skin oedema and only 1 patient i.e 1.6 % had recurrence over a period of 2 years of follow up. Out of the total 60 patients,12 patients who underwent Lord's plication 8.33%,0%,0% developed skin oedema, hematoma and wound infection respectively as compared to 25%,2.08%,6.25% in the remaining 48 patients who underwent Jaboulay's procedure, respectively.Conclusions: These two surgical procedures were very safe, easy to perform and economical and associated with minimal recurrence. Lord's procedure has lesser incidence of post-operative complications as compared to Jaboulay's procedure.

scholarly journals Abdominal pain caused by a giant liver hydatid cyst and the management of the residual cavity in a tertiary public hospital in Greece

2019 ◽  
Vol 34 ◽  
Author(s):  
Athanasios Syllaios ◽  
Dimitrios Schizas ◽  
Antonios Koutras ◽  
Prokopis-Andreas Zotos ◽  
Spyridon Davakis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Public Hospital ◽  
Liver Hydatid Cyst ◽  
Residual Cavity

scholarly journals Medical treatment for an isolated renal multilocular hydatid cyst in an elderly: a case report

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Atie Moghtadaie ◽  
Seyed Amir Miratashi Yazdi ◽  
Minoo Mohraz ◽  
Hoda Asefi ◽  
Effat Razeghi
Keyword(s):  
Medical Treatment ◽  
Hydatid Cyst ◽  
Medical Therapy ◽  
Clinical Symptoms ◽  
Renal Involvement ◽  
Hydatid Cysts ◽  
Medical Treatments ◽  
Case Presentation ◽  
Almost All

Abstract Background Almost all cases of renal hydatid cysts need surgical intervention for treatment. We report a case of isolated renal hydatid cyst treated successfully only with medical therapy. Case presentation This case is a 79-year-old veterinarian presented with right flank pain, hydatiduria and positive echinococcus granulosus serology. A 70*50 mm cyst with daughter cysts in mid-portion of right kidney on presentation was changed into a 60*40 mm cyst without daughter cysts at last follow-up. Due to patient’s refusal of surgery, our patient received medical treatment including praziquantel and albendazole. After completion of first round of treatment, recurrence occurred and the same treatment was repeated. At last, the cyst became inactive and calcified with negative serology and no clinical symptoms under medical treatment. Conclusion The treatment of choice in renal hydatid cyst is surgery; although there are some reports about the efficacy of medical treatments for hydatid cysts but lower rates of recurrence and higher efficacy put surgery in a superior position compared to medical approaches. Our case showed relative success of medical treatment, despite the presence of a large multilocular renal involvement. Thus, medical therapy without surgery can be considered in very particular cases with isolated renal hydatid cysts.

scholarly journals Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst

HPB Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Saba Behdad ◽  
Akbar Behdad ◽  
Samin Behdad ◽  
Mehrdad Hosseinpour
Keyword(s):  
Hydatid Cyst ◽  
Bile Leakage ◽  
Hepatic Necrosis ◽  
Liver Anatomy ◽  
Cyst Volume ◽  
Ultrasound Study ◽  
Residual Cavity ◽  
Intraabdominal Sepsis ◽  
Cyst Cavity

Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant). Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures), and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was  mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant) provides easy, safe closure of cyst with preservation of the liver anatomy.

scholarly journals Modified Pair Technique for Treatment of Hydatid Cysts in the Spleen

2005 ◽  
Vol 5 (3) ◽  
pp. 74-78 ◽  
Author(s):  
Enver Zerem ◽  
Amir Nuhanović ◽  
Jasmin Caluk
Keyword(s):  
Hydatid Cyst ◽  
Hospital Stay ◽  
Hydatid Cysts ◽  
Single Session ◽  
Serologic Test ◽  
Initial Rise ◽  
Antibody Titres ◽  
The Mean ◽  
Cyst Cavity

The aim of this study was to evaluate the results of single-session sclerotherapy with mixture of alcohol and polidocanol and a subsequent injection of albendazole for devisceration of hydatid cysts in the spleen. Eight patients (four women and four men, average age 22.9±11.4 with hydatid cyst in the spleen were treated with 10 minutes time of exposure to mixture of ethanol 95% and polidocanol 1%. After that, 2 to 5 ml of albendazole was injected into the cyst cavity. Two patients had 2 cysts. At follow-up the patients were examined with clinical and biochemical examinations, ultrasonography, and serologic test for echinococcal antibody titres. The mean hospital stay was 2.5±0.93 days. During the follow-up period, mean cyst diameter decreased from 46±16.4 mm to 13.6±16.26 mm. In all ten cysts, a reduction of post procedural recolection of fluid over 40% was observed. Five cysts (50%) disappeared during the follow-up period. All cysts (5) smaller then 50 mm in diameter disappeared during follow-up period. After an initial rise, the echinococcal-an-tibody titres fell progressively and at the last follow-up were negative (< 1: 160) in 7 (88%) patients. No complications were observed, except for pain, fever and urticaria during the first 24-hours after the procedure. Sclerotherapy using only one session and 10 min time of exposure to the mixture of ethanol and polidocanol, and a subsequent injection of al-bendasole solution represents an effective treatment of hydatid cysts in the spleen. This procedure is even more efficacious for hydatid cyst with diametar smaller then 50mm.

scholarly journals A prospective study of erectile dysfunction in men after pelvic surgical procedures and its association with non - modifiable risk factors

2019 ◽  
Author(s):  
Sofia Artemi ◽  
Panteleimon Vassiliu ◽  
Nikolaos Arkadopoulos ◽  
Maria - Eleni Smyrnioti ◽  
Pavlos Sarafis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Erectile Dysfunction ◽  
Erectile Function ◽  
Pelvic Surgery ◽  
Modifiable Risk Factors ◽  
Analysis Model ◽  
History Of ◽  
Male Patients ◽  
A Prospective Study

Abstract Objective: Erectile dysfunction can be caused iatrogenically, due to pelvic surgery. The purpose of this study was to evaluate sexual function at various times after pelvic surgery in male patients and to investigate the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. Results: The mean age of the participants was 66.16 ± 13.07 years old. Regarding comorbidity, 47.2% reported various cardiovascular problems, 20.8% hypertension, 9.4% diabetes mellitus and 5.7% depression. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p <0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function ( p <0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.

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