Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jul;9(7):PC01-3.
doi: 10.7860/JCDR/2015/12599.6151. Epub 2015 Jul 1.

Open Conservative Surgical Management of Cystic Echinococcosis in a Tertiary Care Hospital, Nepal

Niranjan Kumar Hazra  1 , Hemant Batajoo  1 , Samikshya Ghimire  2 , Brijesh Sathian  3
Affiliations

Open Conservative Surgical Management of Cystic Echinococcosis in a Tertiary Care Hospital, Nepal

Niranjan Kumar Hazra et al. J Clin Diagn Res. 2015 Jul.

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.

Keywords: Albendazole; Betadine; CE; Partial pericystectomy.

PubMed Disclaimer

Figures

[Table/Fig-3]:
[Table/Fig-3]:
CT showing multiple daughter cysts in a large CE of liver
[Table/Fig-4]:
[Table/Fig-4]:
Daughter cysts were removed using a spoon
[Table/Fig-5]:
[Table/Fig-5]:
CT shows involvement of both (R) lobe of liver and (R) lung Both lesions were removed by single stage thoracophrentomy
See this image and copyright information in PMC

References

    1. DD Joshi, AB Joshi, H Joshi. Epidemiology of echinococcosis in Nepal. Southeast. 1997;28(1):26–31. - PubMed
    1. NA Khan, SK Purohit. Prevalence of Echinococcosis in Buffaloes. Online Veterinary Journal. 2006;1(1) http://www.kashvet.org/echinococcosis_buffalo.html .
    1. S Manandhar, F Hörchner, N Morakote, MN Kyule, MP Baumann. Occurrence of hydatidosis in slaughter buffaloes (Bosbubalis) and helminths in stray dogs in Kathmandu Valley, Nepal. Berl Munch Tierarztl Wochenschr. 2006;119(7-8):308–11. - PubMed
    1. DD Joshi, H Yamasaki. Histopathological and molecular confirmation of Porcine Cystic Echinococcosis (CE)/Hydatidosis in Nepal. Journal of Institute of Medicine. 2010;32(3):54–58.
    1. D Baronet, D Waltner-Toews, PS Craig, DD Joshi. Echinococcus granulosus infections in the dogs of Kathmandu, Nepal. Annals of Tropical Medicine and Parasitology. 1994;88(5):485–92. - PubMed

LinkOut - more resources