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Conservative surgery in the treatment of hepatic hydatidosis
C E Vagianos1, D D Karavias, S K Kakkos
1Department of Surgery, University of Patras Medical School, Greece.
Objective:
To examine the morbidity, mortality and recurrence rate after a modified conservative operation in the treatment of hepatic hydatidosis.
Design:
Prospective open study.
Setting:
University hospital, Greece.
Subjects:
67 Consecutive patients with hepatic hydatidosis, operated on between 1985 and 1990.
Intervention:
The liver was mobilised and abdominal cavity isolated with pads soaked in 15% saline solution. Hydatid fluid was aspirated from the cysts which were widely deroofed, sterilised with 15% saline, and then oversewn with a braided absorbable suture. Drains were left in place and a third of patients also had omentoplasty (n = 22).
Main Outcome Measures:
Morbidity, mortality and recurrence rate.
Results:
One patient died (1%), 4 developed complications (6%), and there were 3 recurrences (6%). It made no difference whether an omentoplasty was added or not.
Conclusion:
Conservative surgery achieves satisfactory results in the treatment of hepatic hydatidosis.