ABSTRACT
One hundred patients with 12 hepatic hydatid cysts and twenty patients with pulmonary hydatid cysts were managed in a 6-month period. Most of the patients were females [87.5%]. Both hypertonic saline [10%] and povidone iodine [10%] were used as scolicidal agents. The latter solution is highly recommended as moist sponges to pack off the cyst and to flush the cyst before removal of the laminated membrane. Non-completed cysts [60 cases] were managed by either omentoplasty or closure over hypertonic saline. Omentoplasty has been done using a pedicled omental flap based on either the right or left gastroepiploic vessels. Infected cysts were managed by external tube drainage; two temporary external biliary fistulas occurred. Intra-biliary rupture occurred in 10 cases. It was managed by T-tube drainage supplemented in two cases by choledochoduodenostomy. Pulmonary cysts were managed by aspiration-evacuation technique. Closure of the communication with the bronchial tree was done in 9 cases. Deliberate endobronchial ventilation was done in all cases. No deaths occurred in this series