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. 1995 Jun;161(6):415-20.

Conservative surgery in the treatment of hepatic hydatidosis

C E Vagianos  1 , D D Karavias, S K Kakkos, C A Vagenas, J A Androulakis
Affiliations
  • PMID: 7548377

Conservative surgery in the treatment of hepatic hydatidosis

C E Vagianos et al. Eur J Surg. 1995 Jun.

Abstract

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.

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