scholarly journals Evaluation of Prognostic Factors Associated with Postoperative Complications Following Pulmonary Hydatid Cyst Surgery

2020 ◽  
Vol 14 (1) ◽  
pp. 16-21
Author(s):  
Mojtaba Ahmadinejad ◽  
Mozaffar Hashemi ◽  
Nasim Azizallahi
Keyword(s):  
Prognostic Factors ◽  
Postoperative Complications ◽  
Hydatid Cyst ◽  
Surgical Intervention ◽  
Hydatid Cysts ◽  
Air Leak ◽  
R Software ◽  
Factors Associated ◽  
Severity Of The Disease ◽  
Pulmonary Hydatid Cyst

Background: Hydatid cysts are one of the serious complications following echinococcus infection. The liver and the lungs are the most affected organs, respectively. The severity of the disease is associated with the increase in the number and the size of the cysts, cysts rupture, and systemic effects. The aim of this study is to evaluate prognostic factors that are associated with the increased incidence of postoperative complications following pulmonary hydatid cyst surgery. Methods: Patients referred to Madani hospital from 2014-2018, presenting pulmonary hydatid cysts were included in this study. All the patients were evaluated based on the following parameters: age, gender, location and size of the cysts, rupture status of the cysts (intact or perforated), type of surgical intervention (capitonnage or segmentectomy) and Erythrocyte Sedimentation Rate (ESR). The factors were then compared with postoperative complications. Statistical analysis of the data obtained was conducted using R-software Results: Of 76 patients enrolled in our study, 52.63% were males and 47.36% were female. Air leak complication was reported in 13.15% of the patients and 3.94% of the patients were presented with pleural effusion. Postoperative complications were significantly associated with the perforated (ruptured) cysts p= 0.001, segmentectomy p= 0.013, giant hydatid cysts p= 0.007 and ESR p= 0.014. However, the side of the lung was not significantly related to postoperative complications. Conclusion: Our study reports that perforated cysts, increased size, segmentectomy and abnormal ESR are likely to increase postoperative complications following pulmonary hydatid cysts surgery. Prospective studies with perioperative parameters and greater sample size can help to deduce better inferences.

scholarly journals Conservative Surgical Management for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Mohamed Alassal ◽  
Ibrahim Kasb ◽  
Hany Elrakhawy
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Complete Removal ◽  
Conservative Surgery ◽  
Hydatid Cysts ◽  
Rural Regions ◽  
Purse String ◽  
Lung Cysts ◽  
Surgical Methods ◽  
Pulmonary Hydatid Cyst

Background. Hydatid cyst (HC) disease is endemic in many developing countries, like Yemen, Egypt, and Saudi Arabia, especially in the rural regions. The disease has a variable clinical courses and even might be asymptomatic for many years.Objectives. In giant and large pulmonary hydatid cysts, pulmonary resection is the usual method of surgical treatment. In this study, we aimed to evaluate the lung conservative surgery in treatment of cases with giant and large hydatid lung cysts, as an effective method of management.Patients and Methods. Between January 2009 and August 2014, a total of 148 patients with pulmonary hydatid cysts were operated and their data was reviewed retrospectively and analyzed. Out of these cases, 52 (35.14%) cysts with more than 10 cm in diameter and 36 (24.32%) cysts with 5–9 cm were regarded as giant and large hydatid lung cysts, respectively. The small cysts less than 5 cm were presented in 8 (5.4%) cases only; other cases had ruptured cysts. Preservation of the lung tissues during surgery by cystotomy and Capitonnage was our conservative surgical methods of choice.Results. Eight patients developed bronchopleural fistula (BPF); of them, 4 BPFs have healed with chest tube and physiotherapy, but in the other 4 patients reoperation was done for the closure of persistent BPF. No mortality was observed in the present study.Conclusion. We conclude that conservative surgical procedure can achieve complete removal of the pulmonary hydatid cyst. Enucleation of the intact huge cysts is safe. Careful and secured closure of the bronchial communication should be done by purse string or figure-of-8 sutures, with or without Teflon pledgets. These simple procedures are safe, reliable, and successful.

scholarly journals One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

2020 ◽  
Vol 40 (4) ◽  
pp. 298-304
Author(s):  
Khalid A. Alsheikh ◽  
Firas M. Alsebayel ◽  
Faisal Abdulmohsen Alsudairy ◽  
Abdullah Alzahrani ◽  
Ali Alshehri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Mortality Rate ◽  
Hip Fractures ◽  
Surgical Intervention ◽  
Care Center ◽  
Tertiary Care ◽  
The Elderly ◽  
Tertiary Care Center ◽  
Factors Associated ◽  
One Year

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

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 Age, Neurological Status MRC Scale, and Postoperative Morbidity are Prognostic Factors in Patients with Glioblastoma Treated by Chemoradiotherapy

2016 ◽  
Vol 10 ◽  
pp. CMO.S38474 ◽  
Author(s):  
Clotilde Verlut ◽  
Guillaume Mouillet ◽  
Eloi Magnin ◽  
Joëlle Buffet-Miny ◽  
Gabriel Viennet ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Postoperative Complications ◽  
Postoperative Morbidity ◽  
Medical Research Council ◽  
Neurological Status ◽  
Factors Associated ◽  
Newly Diagnosed Glioblastoma ◽  
Patient Prognosis ◽  
Radiotherapy Treatment ◽  
Concomitant Radiotherapy

Introduction Temozolomide and concomitant radiotherapy followed by temozolomide has been used as a standard therapy for the treatment of newly diagnosed glioblastoma multiform since 2005. A search for prognostic factors was conducted in patients with glioblastoma routinely treated by this strategy in our institution. Methods This retrospective study included all patients with histologically proven glioblastoma diagnosed between June 1, 2005, and January 1, 2012, in the Franche-Comté region and treated by radiotherapy (daily fractions of 2 Gy for a total of 60 Gy) combined with temozolomide at a dose of 75 mg/m2 per day, followed by six cycles of maintenance temozolomide (150–200 mg/m2, five consecutive days per month). The primary aim was to identify prognostic factors associated with overall survival (OS) in this cohort of patients. Results One hundred three patients were included in this study. The median age was 64 years. The median OS was 13.7 months (95% confidence interval, 12.5–15.9 months). In multivariate analysis, age over 65 years (hazard ratio [HR] = 1.88; P = 0.01), Medical Research Council (MRC) scale 3–4 (HR = 1.62; P = 0.038), and occurrence of postoperative complications (HR = 2.15; P = 0.028) were associated with unfavorable OS. Conclusions This study identified three prognostic factors in patients with glioblastoma eligible to the standard chemotherapy and radiotherapy treatment. Age over 65 years, MRC scale 3–4, and occurrence of postoperative complications were associated with unfavorable OS. A simple clinical evaluation including these three factors enables to estimate the patient prognosis. MRC neurological scale could be a useful, quick, and simple measure to assess neurological status in glioblastoma patients.

scholarly journals Point-of-care Ultrasound Diagnosis of Pulmonary Hydatid Cyst Disease Causing Shock: A Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 403-406
Author(s):  
Alexandra Hill ◽  
Marco Guillén ◽  
David Martin ◽  
Andrea Dreyfuss
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Surgical Intervention ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Diagnostic Studies ◽  
Resource Limited ◽  
Pulmonary Hydatid Cyst ◽  
Time Critical

Introduction: Point-of-care ultrasound (POCUS) is accepted as an important tool for evaluating patients presenting to the emergency department (ED) with dyspnea1 and undifferentiated shock. Identifying the etiology and type of shock is time-critical since treatments vary based on this information. Clinicians typically rely on the history, exam, and diagnostics tests to identify the etiology of shock. In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies. The use of POCUS enables rapid classification and directed treatment of shock. Additionally, POCUS can aid in the diagnosis of rarer tropical diseases that can be important causes of shock in resource-limited settings. Case Report: We discuss a case of a pediatric patient who presented to an ED in Cusco, Peru, with acute dyspnea and shock. Point-of-care ultrasound was used to expedite the diagnosis of a ruptured pulmonary hydatid cyst, guide proper management of septic and anaphylactic shock, and expedite definitive surgical intervention. Conclusion: In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies, the use of POCUS enables rapid classification and directed treatment of shock.

One-Stage Procedure for Lung and Liver Hydatid Cysts

2008 ◽  
Vol 16 (5) ◽  
pp. 392-395 ◽  
Author(s):  
Manucher Aghajanzadeh ◽  
Fizolah Safarpoor ◽  
Hussein Amani ◽  
Ali Alavi
Keyword(s):  
Hydatid Cyst ◽  
Bronchopleural Fistula ◽  
Hepatic Cyst ◽  
Single Stage ◽  
Hospital Death ◽  
Posterolateral Thoracotomy ◽  
Hydatid Cysts ◽  
Pulmonary Cysts ◽  
Pulmonary Hydatid Cyst ◽  
Hepatic Hydatid

Concomitant pulmonary and liver hydatid cysts occur in 4% 25% of patients with echinococcosis. To evaluate the safety of a single-stage operation, experience with this procedure between 1992 and 2005 was reviewed. Of 152 patients who underwent surgery for pulmonary hydatid cyst, 30 had an additional hepatic cyst that was located on the upper dome of the liver in all cases. Pulmonary cysts were excised first via a posterolateral thoracotomy. After phrenotomy, the hepatic hydatid cyst was evacuated without capitonnage, and a Folly catheter was left in the cavity. Postoperative complications in the 30 patients with cysts in both locations included empyema in 2, bronchopleural fistula in 1, excessive biliary discharge in 3 and hemorrhage in 1. Hepatic hydatid cysts recurred in 2 patients. There was no hospital death. A single-stage posterolateral thoracotomy for extraction of pulmonary and liver hydatid cyst is an effective and safe surgical technique with few complications.

Intact Pulmonary Hydatid Cyst: Is Bronchoscopic Removal Possible?

2019 ◽  
Vol 15 (1) ◽  
pp. 64-66
Author(s):  
Massoud Sokouti ◽  
Mohsen Sokouti ◽  
Babak Sokouti
Keyword(s):  
Hydatid Cyst ◽  
Technical Note ◽  
Hydatid Cysts ◽  
Pulmonary Hydatid Cyst ◽  
Critical Notes

In the current technical note, the structure of pulmonary hydatid cysts has been presented and the included layers have been discussed. Then, some critical notes have been provided for the management of intact pulmonary hydatid cyst which should not be removed by bronchoscopic approaches due to high rates of possible complications of tearing; however, it has been performed by some cases available in the literature which is not acceptable.

scholarly journals Clinical and Morphopathological Considerations in Pulmonary Hydatid Cyst Complicated by Endobronchial Rupture in Children

2017 ◽  
Vol 23 (2) ◽  
pp. 72-78
Author(s):  
N. Dogotari ◽  
Eva Gudumac ◽  
C. Tica ◽  
V. Eremia ◽  
C. Ionescu ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Hydatid Cyst ◽  
Clinical Case ◽  
Postoperative Morbidity ◽  
Surgical Correction ◽  
Residual Cavity ◽  
Pulmonary Hydatid Cyst ◽  
Lung Hydatid

AbstractThe authors present a clinical case that aims to elucidate the diagnostic tactics and the efficiency of the chystostomy procedure performed in children with complicated endobronchial lung hydatid cyst and the potential serious postoperative complications that may occur in the case of this non-capitonary residual cavity technique after pulmonary echinococectomy.Faced with the clinical, surgical and morphopathological investigations of the endobronchus ruptured lung hydatid cyst, the authors conclude that the spectra of morphological pathogenesis present in these cases are responsible for the development of persistent aerostatic disorder, resulting in a long-term postoperative morbidity, which confirms the need to optimize the methods of surgical correction of postechinococectomial residual cavities.

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