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[Echinococcus cysts (hydatids)]
1Chirurgické oddelení Vojenské nemocnice v Plzni.
Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|September 24, 2004
Summary
This study on hydatid cysts caused by Echinococcus granulosus highlights the benefits of long-term albendazole preparation and two-step plombage surgery. It also notes potential complications with minimally invasive techniques.
Area of Science:
- Surgical Oncology
- Infectious Diseases
- Parasitology
Background:
- Presents findings from a three-year expertise in Botswana managing hydatid cysts caused by Echinococcus granulosus.
- Details the surgical treatment of 80 patients, with a focus on liver (59 cases), lung (18 cases), spleen (2 cases), and peritoneal (1 case) hydatid cysts.
Observation:
- Prospective observation of patients throughout diagnosis and treatment, including long-term albendazole preparation prior to surgery.
- Employs a two-step surgical procedure with omental plombage for liver cysts in 18 cases; remaining cysts were removed.
- Discusses the risks associated with mini-invasive methods, though not applied in this study.
Findings:
- No patient mortality occurred; three cases of per-operative anaphylactic reactions were managed successfully.
- No dissemination of echinococcus was observed in operated subjects during the expertise.
- Successfully treated hydatid cysts in HIV/AIDS positive patients with severe immunodeficiency.
Implications:
- Long-term albendazole preparation and two-step plombage surgery are beneficial for hydatid cyst treatment.
- Betadine is identified as the most suitable lavage solution for surgical procedures.
- Minimally invasive procedures like PAIR may lead to specific complications, warranting careful consideration.