research centers


Search results: Found 3

Listing 1 - 3 of 3
Sort by

Article
Surgical Treatment of Hydatid Cyst of the Liver

Author: Tariq E. Al-aubaidi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 189-195
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Human Hydatid disease or echinococcosis, caused by larval form of Echinococcus granulosus, has a worldwide distribution and is endemic in many countries especially in Mediterranean region, middle and Far East.OBJECTIVE:To compare of different surgical procedures used in treatment of hepatic Hydatid cysts and their outcomes and complications.PATIENTS AND METHODS:All patients with hepatic Hydatid cysts disease both symptomatic and asymptomatic of both sexes and any age group were evaluated by history, examination and investigations and data was collected, all patients underwent surgical treatment of different procedures, outcome and complications of such procedures were analyzed.RESULTS:All patients were treated surgically. Surgical procedures included external drainage, simple closure, marsupialization (group A), partial cystectomy with omentoplasty, pericystectomy and segmentectomy (group B). Group A techniques carried out a higher complication rate (39.1%) compared with group B techniques (10%) (P-value <0.05).CONCLUSION:Partial cystectomy with omentoplasty and radical procedures as pericystectomy and segmentectomy carry a lower complication rates compared with external drainage and marsupialization but the former procedures should be reserved to more peripheral cysts and should be done with a low operative risks.


Article
External tube drainage versus omentopexy in the management of residual hepatic hydatid cyst cavity

Author: Ass. Prof. Ali M . Al-Saeigh M.B.CH.B; D.S.; F.I.C.M.S; F.A.C.S
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2011 Volume: 14 Issue: 1 Pages: 10-20
Publisher: University of Kufa جامعة الكوفة

Loading...
Loading...
Abstract

Aim of this study:Our study is confined to the out come of management of the residual cavity of liver hydatid cysts. Background: Hydatid is a Latin word meaning a drop of water .The causative organism of Hydatid disease is the post-larval metacestode stage of tape worm Echinococcus granulosus has world-wide distribution .Despite the clinical presentation the disease is to be diagnosed and treated at the earliest because the complications of cysts like infection, rupture, biliary obstruction and anaphylaxis may be life-threatening. Patient and methods: A prospective study conducted at the department of surgery at Al Sader teaching hospital from the first of December 2008 to the end of October 2009 and included 77 patients have liver hydatid cysts divided into two groups. The residual cavity at the first group (42 patients) was managed by tube drainage procedure while the others (35 patients) managed by omentopexy procedure. Results: There were 53 females and 24 males in this study .The mean age is (32 years). The peak age incidence from (20-29 years) .Post operative bile leakage was found (9) folds more in patients treated with external tube drain than in patients treated with omentopexy gives high statistical significance between them P value =0.0027 The mean hospital stay was longer for external drainage technique in comparison to Omentopexy group and for complicated cases than uncomplicated cases.Conclusion : There is no single approach to deal with residual cavity of hydatid cysts of liver, and every case should has its individual way of intervention, we conclude that omentopexy has less morbidity, shorter hospital stay and it is the best technique in managing both complicated and uncomplicated hepatic hydatid cysts. Key words: hydatid cyst, residual cavity, omentoplasty

الهدف من هذه الدراسةدراستنا لغرض المقارنة بين نتائج استعمال البزل بواسطة انبوب البزل ونتائج استعمال المساريق في معالجة فجوات الكبد الناتجة بعد استئصال الأكياس المائية منه.تمهيد:-الكيس المائي هي كلمة لاتينية تعني ( قطرة الماء ). العنصر المسبب للاكياس المائية هو مرحلة الميتاسيستود ما بعد يرقة الدودة الشريطية (اكينوكوكس كرانيولوسس) المنتشرة عالميا. بالرغم من تعدد اعراض المرض يجب تشخيصه ومعالجته بصورة مبكرة لان مضاعفات الاكياس مثل الالتهاب او الانفجار او انسداد القنوات الصفراوية وحالات الصدمة قد تؤدي الى تهديد الحياة وتؤدي الى الموت.المرضى والطرق:-هذه الدراسة اجريت في قسم الجراحة في مستشفى الصدر التعليمي ابتداءآ من بداية شهر كانون الأول لسنة 2008 ولغاية نهاية شهر تشرين الأول لسنة 2009 وتضمنت الدراسة (77) مريض مصابين باكياس مائية في الكبد تم تقسيمهم إلى مجموعتين استنادا إلى طريقة معالجة الفجوة الناتجة من إزالة الكيس المائي. المجموعة الأولى (42) مريض عولجوا بواسطة البزل بالأنبوب بينما المجموعة الثانية (35) مريض عولجوا بواسطة استعمال المساريق.النتائج:- في هذه الدراسة وجد ان هناك (53) أنثى و(24) ذكر. متوسط أعمارهم (32 سنة) أعلى نسبة للاصابة تقع بين (20-29) سنة. ووجد ان نضوح المادة الصفراء بعد اجراء العمليات في المجموعة الاولى هو أكثر بتسعة اضعاف مما في المجموعة الثانية مما يعطي فائدة حسابية عالية بين الطريقتين P value =0.0027. معدل ايام الرقود في المستشفى كان اطول في المجموعة الاولى بالمقارنة مع المجموعة الثانية وكذلك بالنسبة للحالات المصحوبة بمضاعفات بالمقارنة مع الحالات الغير مصحوبة بمضاعفات.الاستنتاج:لا توجد طريقة مفردة للتعامل مع الفجوة المتبقية في الكبد نتيجة ازالة الكيس المائي وكل حالة لها الطريقة الخاصة للتعامل معها.نستنتج من هذه الدراسة ان طريقة استعمال المساريق في سد الفجوة الناتجة من إزالة الكيس المائي في الكبد فيها اقل مضاعفات واقصر فترة رقود في المستشفى وهي الطريقة الافضل في معالجة حالات اكياس الكبد المائية سواءآ كانت مصحوبة او غير مصحوبة بمضاعفات.


Article
Surgical Management of a Hydatid Cyst of the Hepatic Dome Ruptured into the Biliary Tree

Author: Ali J. Awad * CABS, MRCS د. علي جليل عواد
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 4 Pages: 459-460
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Summary:Background: Hydatid disease remains an important & challenging medical problem. Case report: A62 year old male patient was admitted complaining of upper abdominal discomfort. Six days earlier he suffered from acute pain in the right upper quadrant, mild systemic allergic manifestation, a fever of 38.5oC and chills. He was managed by a new surgical approach of myoplasty of the right hemidiaphragm combined with preoperative decompression of the bile duct by an endoscopic sphincterotomy. A case search identified study describing rupture of a hydatid cyst of the hepatic dome into biliary tract. The incidence of intrabiliary rupture of hepatic hydatid cysts is 25% in patients treated with external surgical drainage for liver hydatid cysts. Postporative external biliary fistula have been reported in 27.5%. Conclusion: this procedure may require less time (because liver mobilization is not necessary) and allows for easier abdominal reoperation in the future. The simplicity of the technique allows for a more reliable alternative to the treatment of the hydatid cyst located over the superior-posterior aspects of the liver. Key words: Hydatidosis- Hydatid disease- liver- omentoplasty- myoplasty technique- Echinococcus.

Listing 1 - 3 of 3
Sort by
Narrow your search

Resource type

article (3)


Language

English (3)


Year
From To Submit

2011 (1)

2010 (1)

2009 (1)