research centers


Search results: Found 3

Listing 1 - 3 of 3
Sort by

Article
Percutaneous Treatment of Liver Hydatid Disease, Clinical Experience with 22 Patients

Author: Ibrahim Falih Noori
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 522 -530
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

The purpose of this study was to assess the efficacy and validity of the puncture-aspiration –injection and re-aspiration (PAIR)and catheterization in the percutaneous treatment of hydatid cyst disease of the liver. This is aprospective study that had been performed in a major hospital in Basra city, Iraq for the period between April 2010 and May 2014 in which 22 patients with a diagnosis of hydatid cystic disease of liver subjected to a percutaneous treatment using PAIR technique or catheterization method under ultrasonographic guidance and under cover of albandazol or mebandazol before and after intervention .Following aspiration of the cystic fluid ,hypertonic saline 20% was injected into the cystic cavity and re-aspirated .Subsequent follow up and observation was carried out by ultrasonic examination to assess the efficacy and of this approach.Twenty four cyst (72.7%) in this study was GharbiIcyst, 4 patients (18%) had type II and 2 patients only had type III. The mean reduction in the volume of the cyst after 9-12 months follow up period was 92.6% and 87.5% in catheterization and PAIR method respectively .All patients were in very good condition. Liver and blood tests were normal after intervention. Solidification and pseudotumor was seen in 18 patients (81.8 %) and calcification was seen in 12 patients (54.5%).The mean hospitalization time was 3 days. Percutaneous treatment for selected patients with type I –III Gharbi hydatid liver cyst is effective and safe procedure .It offers complete cure with infrequent complications and short hospitalization. Surgery however, remains the gold standard treatment for multivesicular, infected and complicated cases of hepatic liver cysts.


Article
THE IDENTIFICATION OF RISK FACTORS THAT PREDICT OCCULT CYSTOBILIARY COMMUNICATION IN LIVER HYDATID CYSTS

Author: Bashar A. Abdul Hassan بشار عباس عبد الحسن
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2017 Volume: 15 Issue: 3 Pages: 288-296
Publisher: Al-Nahrain University جامعة النهرين

Loading...
Loading...
Abstract

Background:Post-operative biliary leakage in patients with liver hydatid diseases is still a major problem especially after conservative surgery. Radiologic and intraoperative findings may not be helpful to detect occult biliary communications in asymptomatic patients.Objective:To identify the risk factors to predict occult cystobiliary communications (CBC) preoperatively to avoid development of biliary leakage after surgery.Methods:This prospective study conducted at the Gastroenterlogy and Hepatology Teaching Hospital in Medical City, Baghdad from the 1st of December 2013 to the 29th of March 2016. Clinical assessment, laboratory tests and imaging studies were under taken for 85 patients with uncomplicated liver hydatid cysts. Endocystectomy and or partial pericystectomy were undertaken. Post-operative follow up and management of biliary leakage for those with cysto-biliary communication not detected intra operatively. Data were analyzed to predict risk factors for occult CBC.Results:Of the 85 patients, 64 patients had no evidence of CBC neither intra nor postoperative, while the remaining 24 patients had an occult CBC, that have been discovered during operation or evident in the following days. Significant clinical predictors of communication were cyst size ≥ 10 cm, elevated total serum bilirubin (TSB) and gamma glutamyl transferase (GGT) (P < 0.001). Other findings were associated more with patients having CBC than those without, including high white blood cell count (WBC), alkaline phospatase (ALP), aspartate transaminase (AST) and alanine transaminase (ALT) levels. Nine of 13 patients who developed post-operative bile leak stopped spontaneously, the other 4 patients mandate endoscopic retrograde cholangiopancreatgraphy (ERCP) to close their fistulas.Conclusion:Awareness about the risk factors for CBC can predict preoperative diagnosis of occult CBC. Endoscopic biliary interventions should be considered as a part of complementary treatment of those cases with refractory CBC and to be discussed in patients’s consent preoperatively.Keywords:Liver hydatid cyst, cystobiliary communication, biliary leakage. Citation:Abdul Hassan BA. The identification of risk factors that predict occult cystobiliary communication in liver hydatid cysts. Iraqi JMS. 2017; Vol. 15(3): 288-296. doi: 10.22578/IJMS.15.3.11


Article
Is it Mandatory to Use a Scolicidal Agent in Liver Hydatid Management
هل ان المواد القاتلة للرؤوس ضرورية عند الجراحة المحافظة للتخلص من الأكياس المائية للكبد؟

Author: Ihsan S.Sahi Al-sadi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2013 Volume: 10 Issue: 4 Pages: 843-854
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

A prospective study was conducted to assess whether conservative surgery is adequate in themanagement of the hydatid cysts of the liver without using a scolicidal agent. The patients with liver hydatids admitted in AL Zahrawi Hospital in Misan Govenorate were enrolled during a period of about ten years from February 2001to September 2010.The total number of patients was 80 (, 55 women and 25 men).The clinical presentations and surgical managements of liver hydatid cysts and postoperative complications were recorded. 45180 (56.25%) presented with simple uncomplicated .The majority of patients had single cyst 50/80: in 60/80 of patients the cyst was present in the right lobe.We had 10/80 patient (12.5)presented with intected hydatid cyst they were presented withfever. 5 patients (6.25%)had intraperitoneal rupture of hydatid cysts.No scolicidal agent was used during the procedures in any patient. Post operative morbidity was seen in 1l/45 (24.4%) in uncomplicated cysts while 10135 (28.4%) in complicated cysts the total recurrence rate 8/80 (10%5.2 patients in un complicated cyst 4.4% and 6 patients in complicated cyst 17%.We can c6nclude that the management of hydatid cysts of liver can be done without using scolicidal agents and does not affect in increasing the recurrence rate, especially in uncomplicated cysts, avoiding the morbidity of scolicidal agent. Postoperative morbidity is more in complicated than uncomplicated cases.

أجريت دراسة متوقّعة لتَقييم فيما لو كانت الجراحةِ المحافظةِ كافيةُ في معالجة اكياس الكبدِ المائية بدون إستعمال المواد القاتلة للرؤوس. المرضى المصابين بأكياس الكبدِ العدرية الذين راجعوا في مستشفى الزهراوي في محاقظة ميسان سُجّلوا أثناء فترة حوالي عشْرة سَنَواتِ مِنْ فبراير/شباطِ 2001 إلى سبتمبر/أيلولِ 2010 حيث كان عددهم الكليَّ 80 مريضا (55 إمرأة و25 رجل). سجلت العلامات السريرية والاجراءات الجراحية والمضاعفات مابعد التداخل الجراحي لاكياس الكبد العدرية. 45/80 (56.25 %) من المرضى لم تضهر حالتهم تعقيدات .أغلبيةِ المرضى أضهروا كيسُ وحيدُ 50/80: في 60/80 مِنْ المرضى كَانَ الكيس موجود في الفص الايمن للكبد. كَانَ عِنْدَنا 10/80 مريض (12.5) مصابين بكيسِ عدري ملتهب حيث أضهروا الحُمَّى والألمِ البطنيِ، مثل خُرّاجِ الكبدِ المتقيحِ. 5 مرضى (6.25 %) كَانَ لديهم انفجار الكيس العدري داخل غشاء البريتون.لم يتم استعمال اي مواد مضاد للرؤوس أثناء الإجراءاتِ لأيّ من المرضى. سجلت الوبالة ما بعد الجراحة في 11/45 (24.4 %) في الاكياس غير المعقّدةِ، بينما 10/35 (28.4 %) في الاكياس المعقّدةِ. نسبة التكرارِ الكليّةِ 8/80 (10 %). مريضان في الاكياسِ غير المعقّدِ 4.4 % و6 مرضى بالاكياس المعقّدةِ 17 %. يُمْكِنُنا أَنْ نَستنتجَ بأنّة يمكن معالجة الاكياس العدرية للكبدِ بدون إستعمال المواد المضادة للرؤوس ولا نُؤثّرُ عليهم في زيَاْدَة نسبةِ التكرارَ، خصوصاً في الاكياس البسيطة ، بذلك يمكن ان نتفادى مرضيةَ المواد المضادة للرؤوس. ان الاصابة ما بعد الجراحة أكثرُ في الحالاتِ المعقدة من غير المعقدة.

Listing 1 - 3 of 3
Sort by
Narrow your search

Resource type

article (3)


Language

English (3)


Year
From To Submit

2017 (1)

2016 (1)

2013 (1)