Hydatid cyst is a parasitic infestation of humans caused by Echinococcus granulosus. Dogs and some wild carnivores like foxes are definitive hosts, harbouring worms in their intestine. Eggs are passed in the faeces and eaten by the intermediate hosts, and larvae encyst in the liver, lungs, and other organs.
Pain and hepatomegaly.
Fever and jaundice may accompany complicated cysts.
Complicated cysts (free rupture into the intraperitoneal cavity or biliary tract, or concomitant bacterial infection) are also symptomatic.
There are three treatment options:
Management of hydated cysts in the liver typically involves an open surgical approach with meticulous operative site packing and employment of a variety of conservative and radical operative techniques.
Surgical treatment was used for all cysts that were larger than 15 cm, those that were complicated, and those that were not suitable for interventional radiology. All patients were treated with albendazole (10 mg/kg) 15 days before surgery, and this medication was continued for 2 months postoperatively. Magnetic resonance cholangio-pancreatography (MRCP) or endoscopic retrograde cholangio-pancreatography (ERCP) also were used preoperatively for patients with jaundice, history of cholangitis, dilatation of the biliary ducts, existence of debris in the bile ducts, or elevation of serum liver transaminases.
A 20% hypertonic saline solution was used to deactivate the cyst content. Prior to injection of this solution into the cystic cavity, the contents of the cyst were completely aspirated to prevent dilution of the agent. The solution was left inside the cyst about 10 min to kill the scolices. To prevent accidental spillage of the cystic contents, the puncture site was covered with hypertonic saline solution-soaked gauzes. If the cyst was localized to the liver periphery, the entire cyst could be excised; however, if the cysts were centrally located, they were drained through a hepatotomy. After evacuating the cystic contents, the cavity was explored for any possible communication with the bile duct. The offending bile duct was then sutured. The remaining cystic cavity was then drained or obliterated. Obliteration was achieved with omentoplasty or capitonnage. A drain was then placed into the subhepatic or subdiaphragmatic space.
Techniques for laparoscopic hydatid cyst surgery
Laparoscopic treatment of hydatid disease of the liver is an alternative to open surgery in well-selected patients. Important steps are the evacuation of the cyst contents without spillage, sterilization of the cyst cavity with scolicidal agents and cavity management using classical surgical techniques.
Benefits of lap hydated cyst excision
Shorter hospital stay
very low wound infection,
shorter operation time
less blood loss
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Cystic echinocccosis, also known as hydated disease, is caused by infection with the larval stage of Echinococcus granulosus, a 2-7 millimeter long tapeworm found in dogs and sheep, cattle, goats, and pigs.
Q.What is inside a hydated cyst?
The cysts found in those with cystic echinococcosis are usually filled with a clear fluid called hydated fluid, are spherical, and typically consist of one compartment and are usually only found in one area of the body.
Q. What can happen if a cyst is left untreated?
If left untreated, benign cysts can cause serious complications including: Infection – the cyst fills with bacteria and pus, and becomes an abscess. If the abscess bursts inside the body, there is a risk of blood poisoning.
Q. What are the first signs of liver damage from alcohol?
Abdominal pain and tenderness, dry mouth and increased thirst, fatigue, jaundice (which is yellowing of the skin), loss of appetite, and nausea. Your skin may look abnormally dark or light. Your feet or hands may look red.
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