SURGICAL MANAGEMENT OF COMPLICATED LIVER HYDATID CYSTS IN ENDEMIC AREA THE REPUBLIC OF YEMEN | ||
| Journal of the Egyptian Society of Parasitology | ||
| Article 20, Volume 51, Issue 3, December 2021, Pages 597-602 PDF (957.67 K) | ||
| DOI: 10.21608/jesp.2021.210450 | ||
| Author | ||
| MARWAN MANSOUR BORHAM | ||
| Departments of General Surgery, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt | ||
| Abstract | ||
| Hydatidosis is a zoonotic parasite caused by the larval of Echinococcus granulosus of worldwide distribution mainly sheep farming countries. Most of the complications are life-threatening and surgery is the best choice of treatment. This study evaluated the clinical presentation and the best way to surgically manage complicated hydatid cysts in Yemen This study was conducted in Alsalam Hospital in Saada Yemen Republic over two years From January 2017 to January 2019. The enrolled patients were 59 with hepatic hydatid cysts (38 females & 21 males), with mean ages of 32.5 years. The surgical procedures used according to their presentations were drainage in 25(42%), partial cystectomy and capitonnage in 15(25%), partial cystectomy and omentoplasty in 10(17%), per cystectomy in 5(8.3%), hepatectomy in 2(3.3%) and CBD exploration in 2 (3.3%). The results showed that hepatic hydatidosis was a single cyst in 48 patients (81.3%) and multiple in 11 patients (18.6%). Patients were classified according to complications into wound sepsis in 4(6.7%), biliary leakage in 2(3.3%), intra-abdominal abscess in 3(5%), recurrence in 2(3.3%), bleeding in 2(3.3%) and lung atelectasis in 2(3.3%) Total postoperative morbidity was 25.4% and for surgical procedures and post-operative complication (P <0.05) | ||
| Keywords | ||
| Yemen; Hydatid cysts; diagnosis; Surgery; Postoperative morbidity | ||
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