The European journal of surgery = Acta chirurgica · 1995
Conservative surgery in the treatment of hepatic hydatidosis.
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Vagianos C E, Karavias D D, Kakkos S K, Vagenas C A, Androulakis J A
Аннотация
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.
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.