The residual cavity after hepatic hydatid endocystectomy:acomparative clinical study of the surgical options

Ali Aja, Hassan

	The residual cavity after hepatic hydatid endocystectomy:acomparative clinical study of the surgical options
Tikret Journal of Pharmaceutical Sciences
Article 1, Volume 6, Issue 1, 2010, Pages 44-49
Author
Hassan Ali Aja
Abstract
Background.' hydatid cyst remains an in-rporlant public health problem in endemic area.The liver is the organ most frequently infested by hydatid disease and medical therapyalone is ineffective in eliminating the parasite. The surgical treatment technique forliver hydatid cyst can not be standardized, and the surgical technique should be tailoredaccording to the extent of the cyst and any adjunct complications of hydatid disease.Objective,s of the surgical intervenlion is evacuation and obliteration of the cysticcavity. Recurrent hydatid cyst is defined as a new growth of an echinococcal cyst aftercomplete surgical removal of the primary one and irrespective to the surgical technique.Material and methods.' A prospective study was including (90) patients who weresurgically treated for hepatic hydatid cysts, during the period March 2005 to October2009 in Baghdad and Tikrit Teaching Hospital. 49 patients (54%) were female and therenraining 41 patients (46%) were male. This gives female: males ratio of i.2:1. Thesurgical procedures were performed for al1 patients were endocystectomy +omentoplasty or open peritoneal drainage or capitonnage; that's compared with regardof early and late postoperative complications and hydatid disease recurrence. Thefollow up was made in early and late postoperative period by abdominal ultrasound upto 2 years (6 monthly intervals). Conclusion' abdominal ultrasound is useful easytechnique in postoperative follow-up. Endocystectomy +Omentoplasty procedure hadnot complicated by recurrence. Prevention and control remain the best weapons toelirninate hydatidosis.

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