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Published on: February 28, 2025
Removal of large hydatid cysts with balloon-assisted modification of Dowling's method: technical report
Murat Ulutas1, Kadir Cinar, Mehmet Secer
1Department of Neurosurgery, Konukoglu Hospital, Sanko University, Gaziantep, Turkey, nrsrgn@yahoo.com.
Background:
Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method.
Methods:
After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.
Conclusions:
We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.
