Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis
ABSTRACTINTRODUCTION:Hydatidosis is the result of infection with the larval stages of some species of the genus Echinococcus. Treatment approaches for hydatid cysts include the use of albendazole, surgery, and/or medico-surgical procedures. The choice of the therapeutic surgical approach depends on...
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ftdoajarticles:oai:doaj.org/article:d2d4ad8e9dbf4a08bf077814b5875127 2023-05-15T15:11:04+02:00 Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis Amr Abdelraouf Amany Ahmed Abd El-Aal Eman Yassin Shoeib Samar Sayed Attia Nihal Ahmed Hanafy Mohamed Hassani Soheir Shoman 2015-10-01T00:00:00Z https://doi.org/10.1590/0037-8682-0223-2015 https://doaj.org/article/d2d4ad8e9dbf4a08bf077814b5875127 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000500587&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0223-2015 https://doaj.org/article/d2d4ad8e9dbf4a08bf077814b5875127 Revista da Sociedade Brasileira de Medicina Tropical, Vol 48, Iss 5, Pp 587-593 (2015) Hydatid cyst Partial pericystectomy PAIR technique Deroofing Arctic medicine. Tropical medicine RC955-962 article 2015 ftdoajarticles https://doi.org/10.1590/0037-8682-0223-2015 2022-12-30T23:24:07Z ABSTRACTINTRODUCTION:Hydatidosis is the result of infection with the larval stages of some species of the genus Echinococcus. Treatment approaches for hydatid cysts include the use of albendazole, surgery, and/or medico-surgical procedures. The choice of the therapeutic surgical approach depends on the cyst number and localization, surgeon expertise, and presence of complications. The present study aimed to compare the outcomes of the following therapeutic approaches for the treatment of hepatic hydatid cysts: pericystectomy; the puncture, aspiration, injection, and reaspiration (PAIR) technique; and the PAIR technique followed by deroofing, evacuation of cysts, and omentoplasty.METHODS:The 54 patients were divided into 3 groups: Group I (14 patients) who underwent pericystectomy, Group II (23 patients) who underwent the PAIR technique, and Group III (17 patients) who underwent the PAIR technique followed by deroofing and omentoplasty. The diagnosis of hydatid cysts was based on serological testing using enzyme-linked immunosorbent assay, abdominal ultrasound, and parasitological examination of the cyst contents. Morbidity, mortality, length of hospital stay, recurrence, and postoperative complications were evaluated.RESULTS:Postoperative bleeding, infection, and recurrence were reported in Groups I and II; Group III did not experience postoperative infection and had shorter hospital stays. Recurrence and postoperative complications did not occur in Group III.CONCLUSIONS:The partial surgical procedure with deroofing, evacuation of the cysts, and omentoplasty, as performed in the present study, is recommended as a safe and effective method for elimination of the entire parasite with minimal possibility for intra-peritoneal spillage. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 48 5 587 593 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Hydatid cyst Partial pericystectomy PAIR technique Deroofing Arctic medicine. Tropical medicine RC955-962 |
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Hydatid cyst Partial pericystectomy PAIR technique Deroofing Arctic medicine. Tropical medicine RC955-962 Amr Abdelraouf Amany Ahmed Abd El-Aal Eman Yassin Shoeib Samar Sayed Attia Nihal Ahmed Hanafy Mohamed Hassani Soheir Shoman Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
topic_facet |
Hydatid cyst Partial pericystectomy PAIR technique Deroofing Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACTINTRODUCTION:Hydatidosis is the result of infection with the larval stages of some species of the genus Echinococcus. Treatment approaches for hydatid cysts include the use of albendazole, surgery, and/or medico-surgical procedures. The choice of the therapeutic surgical approach depends on the cyst number and localization, surgeon expertise, and presence of complications. The present study aimed to compare the outcomes of the following therapeutic approaches for the treatment of hepatic hydatid cysts: pericystectomy; the puncture, aspiration, injection, and reaspiration (PAIR) technique; and the PAIR technique followed by deroofing, evacuation of cysts, and omentoplasty.METHODS:The 54 patients were divided into 3 groups: Group I (14 patients) who underwent pericystectomy, Group II (23 patients) who underwent the PAIR technique, and Group III (17 patients) who underwent the PAIR technique followed by deroofing and omentoplasty. The diagnosis of hydatid cysts was based on serological testing using enzyme-linked immunosorbent assay, abdominal ultrasound, and parasitological examination of the cyst contents. Morbidity, mortality, length of hospital stay, recurrence, and postoperative complications were evaluated.RESULTS:Postoperative bleeding, infection, and recurrence were reported in Groups I and II; Group III did not experience postoperative infection and had shorter hospital stays. Recurrence and postoperative complications did not occur in Group III.CONCLUSIONS:The partial surgical procedure with deroofing, evacuation of the cysts, and omentoplasty, as performed in the present study, is recommended as a safe and effective method for elimination of the entire parasite with minimal possibility for intra-peritoneal spillage. |
format |
Article in Journal/Newspaper |
author |
Amr Abdelraouf Amany Ahmed Abd El-Aal Eman Yassin Shoeib Samar Sayed Attia Nihal Ahmed Hanafy Mohamed Hassani Soheir Shoman |
author_facet |
Amr Abdelraouf Amany Ahmed Abd El-Aal Eman Yassin Shoeib Samar Sayed Attia Nihal Ahmed Hanafy Mohamed Hassani Soheir Shoman |
author_sort |
Amr Abdelraouf |
title |
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
title_short |
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
title_full |
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
title_fullStr |
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
title_full_unstemmed |
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
title_sort |
clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2015 |
url |
https://doi.org/10.1590/0037-8682-0223-2015 https://doaj.org/article/d2d4ad8e9dbf4a08bf077814b5875127 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 48, Iss 5, Pp 587-593 (2015) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000500587&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0223-2015 https://doaj.org/article/d2d4ad8e9dbf4a08bf077814b5875127 |
op_doi |
https://doi.org/10.1590/0037-8682-0223-2015 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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48 |
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