OUTCOME OF HEPATIC HYDATIDOSIS MANAGED BY MINIMALLY INVASIVE AND OPEN SURGICAL METHODS A STUDY FROM A DEVELOPING COUNTRY
Abdul Rashid Ganai, Mohammed Anyees Khanday*, Iqbal Saleem Mir and Zainub Nabi
ABSTRACT
Introduction: Hydatidosis is a zoonotic parasitic disease caused by the parasite Echinococcus. Materials and Methods: 31 patients were operated for isolated hepatic hydatidosis in our hospital and parameters such as presentation of patients, distribution among hepatic lobes, Operative time, Rate of conversion to open technique, Post-operative complications, Hospital stay were assessed. Results: Majority of patients belonged to younger age group with the disease being more prevalent in females, dragging pain in right upper part of abdomen being commonest presentation, Right lobe of liver was more commonly involved, patients with external tube drainage had a longer stay in the hospital Conclusion: 83.3% cases in our study had single cyst and 16.7% had multiple cysts. Hydatid Serology in our study was positive in 40% cases. Laparoscopic approach was adopted in 68.6% cases and open approach in 33.3% cases. Residual cavity managed by external tube drainage in majority of cases (86.6%) followed by omentopexy (10%) and capitonnage in (3.33%) cases. Majority of complications occurred in patients being treated by external tube drainage with wound infection occurring in 10%.
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