ABSTRACT
Primary hydatid cyst of the pancreas is a rare condition. In a large series study the reported incidence was 0.25% [1]. We present the case of a 35-year-old patient who presented with a history of a vague upper abdominal pain, with nausea, vomiting and heartburn. Abdominal ultrasonography and CT scans revealed a cystic mass occupying the body and tail of the pancreas. Surgery was performed and yielded a tense hydatid cyst in the pancreas
Subject(s)
Humans , Male , Echinococcus/pathogenicity , Pancreatic Diseases/parasitologyABSTRACT
Tension-free mesh repairs are now becoming the Gold Standard' for inguinal operations. We present a new technique for minimal access for such a repair. After an initial 2 cm incision at the level of the deep inguinal ring, a telescopic lens of 30 and 5 mm size is introduced into the elevated wound. This in turn, is connected to a standard laparoscopic video imaging system. Under the latter view, and with the presence of the tactile sense of the open surgery, assistance is achieved in dissecting, separating and delivery of the spermatic cord for further dissection. Later, it assists in the placement of the mesh plug and then of the on lay mesh and their fixation. Twenty-five of such operations were done in the first three quarters of 1995. Dissection and visualization of the surgical anatomy, placement of the mesh and its fixation were quite satisfactory. There were no per operative complications. Operative time on average was 1.20h. Post operative pain was however present in five patients; parenteral treatment was required in one patient only. Post-operative complications were present in three patients: one each with, wound infection, wound haematoma, and a scrotal hydrocele. In the relatively short follow up period of 18-24 months, there were no recurrences noted. We have found this technique suitable for uncomplicated primary inguinal hernia repair with the advantages of 'minimal access' through a small wound, and all the reported benefits of the open mesh plug hernioplasty