Study of Clinical Spectrum and Management of Hydatid Disease- A 7 Years’ Prospective Study
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: Hydatid disease is a zoonotic disease caused by the tapeworm of genus Echinococcus species and is one of the oldest known diseases to man. The primary management involves surgical removal. We conducted this prospective cohort study to describe the epidemiology (demography, clinical presentation, imaging characteristics, management and in-hospital course) of Cystic Echinococcosis (CE) in central India. Material and Methods: The study was approved by institutional ethical committee and was conducted in the department of general surgery at a tertiary care medical college situated in an urban area. A Total of 148 Patients diagnosed with hydatid disease were included in this study on the basis of predefined inclusion criteria. Any patient having any exclusion criteria was excluded from the study. The diagnosis was confirmed on the basis of imaging findings. Patients were treated primarily by surgery (Open or laparoscopic depending upon the location and size). Statistical analysis was done with Minitab version 17. Results: Out of total 148 patients there were 46 males and 102 females with a M: F ratio of 1:2.21. Majority of the patients (55.40%) were operated by endoscopic techniques while open surgeries were done in 44.60% patients. Amongst the surgeries done for hepatic hydatid cysts laparoscopic and open surgeries were done in 70 (70%) and 30 (30%) patients respectively with 11% conversion rate. Out of the patients with lung hydatids 70% were operated by thoracotomy while 30% were operated with VATS With 20% conversion. Splenectomy was done in 85.71%, and cystectomy in 14.29% of splenic hydatid patients. Conclusions: Management of the hydatid cyst can safely be done by laparoscopic surgery and VATS with acceptable complication rates.
Authors and Affiliations
Brajesh B Gupta, Pavan Kumar C G
Clinical Expressive Symptoms and Socio-Occupational Functioning among Person with Schizophrenia
Introduction: Schizophrenia is characterized by admixture of multiple symptoms which may involve varied zones of psychiatric function ranging from language, motor activity, reasoning, emotion to perception, which reduces...
Evaluation of Placental Thickness as an Ultrasonographic Parameter for Estimating Gestational Age of the Fetus in 2nd and 3rd Trimesters
Introduction: Accurate estimation of Gestational age (GA) is important in assessing the growth of fetus and plan for delivery. We assessed the role of placental thickness (PT) in estimating the GA and the growth pattern...
MDCT Scan Evaluation of Abdominal Lymphoma
Introduction: Accurracy of CT in the staging of patients with lymphoma is widely recognized, and it is now the first investigation of choice in the initial staging and follow up of these patients. The current research ai...
Comparison of CT and MRI Imaging of Eclampsia with its Clinical Implications
Introduction: One of the multisystem disorders that complicate considerable number of pregnancies in Western countries is Eclampsia. MRI studies of eclampsia describe these as a result of vasogenic edema induced by vasos...
Evaluating the Diagnostic Yield of CT Guided Biopsy and FNAC in a Tertiary Care Hospital
Introduction: CT guided core biopsy and FNA are accepted standard techniques for tissue access in chest and abdominal lesions with good diagnostic yields. Aims: To evaluate the diagnostic yield and complications of CT gu...