Niranjan Kumar Hazra1, Hemant Batajoo1, Samikshya Ghimire2, Brijesh Sathian3. 1. Consultant Surgeon, Department of Surgery, Manipal Teaching Hospital , Pokhara, Nepal . 2. Medical Officer, Department of Surgery, Manipal Teaching Hospital , Pokhara, Nepal . 3. Assistant Professor (Statistics), Department of Community Medicine, Manipal Teaching Hospital , Pokhara, Nepal .
Abstract
BACKGROUND: Cystic echinococcosis (CE) or hydatid disease caused by E. granulosus in Nepal is amenable to surgical treatment. AIM: Aim of the study is to evaluate the efficacy of surgical treatment of CE, by open partial pericystectomy with albendazole as adjuvant. MATERIALS AND METHODS: Material of this prospective study were the consecutive series of 33 patients operated for CE, over a period of 8 years, at a single centre. Clinical examination, ultrasonography (USG) and computed tomography (CT) were used for establishing diagnosis. Patients were prescribed perioperative albendazole. Povidone iodine 10% (betadine)was used as contact scolicidal agent during operation. Cysts were evacuated from livers, lungs, retroperitoneum by partial pericystectomy. CE of mesentery was completely excised. Descriptive statistics was obtained using EPI- info windows version soft ware. RESULTS: A total of 33 patients were operated for CE; 24 were females and 9 males. Age ranged from 4 years to 80 years. Organs/ site involved were: liver - 24, lungs - 4, combined liver and lungs - 2, retroperitoneum - 2 and mesentery - 1. Complication - bile leak for 2 weeks in an operated CE of liver. There was no mortality. Hospital stay (in days) was - mean 14 (range 7to21). Follow up for 3 years (average 2years) showed no recurrence. CONCLUSION: Evacuation of CE by partial pericystectomy is an effective, safe and simple procedure, and gives excellent cure rate with perioperative albendazole therapy.
BACKGROUND:Cystic echinococcosis (CE) or hydatid disease caused by E. granulosus in Nepal is amenable to surgical treatment. AIM: Aim of the study is to evaluate the efficacy of surgical treatment of CE, by open partial pericystectomy with albendazole as adjuvant. MATERIALS AND METHODS: Material of this prospective study were the consecutive series of 33 patients operated for CE, over a period of 8 years, at a single centre. Clinical examination, ultrasonography (USG) and computed tomography (CT) were used for establishing diagnosis. Patients were prescribed perioperative albendazole. Povidone iodine 10% (betadine)was used as contact scolicidal agent during operation. Cysts were evacuated from livers, lungs, retroperitoneum by partial pericystectomy. CE of mesentery was completely excised. Descriptive statistics was obtained using EPI- info windows version soft ware. RESULTS: A total of 33 patients were operated for CE; 24 were females and 9 males. Age ranged from 4 years to 80 years. Organs/ site involved were: liver - 24, lungs - 4, combined liver and lungs - 2, retroperitoneum - 2 and mesentery - 1. Complication - bile leak for 2 weeks in an operated CE of liver. There was no mortality. Hospital stay (in days) was - mean 14 (range 7to21). Follow up for 3 years (average 2years) showed no recurrence. CONCLUSION: Evacuation of CE by partial pericystectomy is an effective, safe and simple procedure, and gives excellent cure rate with perioperative albendazole therapy.
Authors: Alexandra K Tsaroucha; Alexandros C Polychronidis; Nikolaos Lyrantzopoulos; Michail S Pitiakoudis; Anastasios J Karayiannakis; Konstantinos J Manolas; Constantinos E Simopoulos Journal: World J Surg Date: 2005-09 Impact factor: 3.352
Authors: Salina Manandhar; Franz Hörchner; Niwat Morakote; Moses N Kyule; Maximilian P O Baumann Journal: Berl Munch Tierarztl Wochenschr Date: 2006 Jul-Aug Impact factor: 0.328
Authors: Sajad Hussain Arif; Nazir Ahmad Wani; Showkat Ahmad Zargar; Mehmood Ahmad Wani; Rehana Tabassum; Zahoor Hussain; Ajaz Ahmad Baba; Riyaz Ahmad Lone Journal: Int J Surg Date: 2008-08-16 Impact factor: 6.071