Surgical treatment of hydatid disease

Twelve patients presented with hydatid disease; one in the spleen and the rest in the liver. They were presented in the period from December 1988 to March 1992. Their age ranged between 11 - 62 years. Two patients were undergone previous surgery for hydatid disease, one in the liver and one in the lung. Cysts were solitary in half of the patients. Conservative procedures were used in seven patients [partial pericystectomy] and two patients [subtotal pericystectomy]. Splenectomy was done for one patient and medical treatment with mebendazole for two patients and one patient no treatment

Surgical treatment of hydatid disease

Twelve patients presented with hydatid disease; one in the spleen and the rest in the liver. They were presented in the period from December 1988 to March 1992. Their age ranged between 11 - 62 years. Two patients were undergone previous surgery for hydatid disease, one in the liver and one in the lung. Cysts were solitary in half of the patients. Conservative procedures were used in seven patients [partial pericystectomy] and two patients [subtotal pericystectomy]. Splenectomy was done for one patient and medical treatment with mebendazole for two patients and one patient no treatment

Laparoscopic cholecystectomy How to guard against complications?

Forty patients underwent laparoscopic cholecystectomy during the period from December 1991 through August 1992, they were 32 women and 8 men median age 38 [range 21-61 years]. Three patients of late cases were acute, the rest were chronic. Conversion to open cholecystectomy was required in two patients [5%] because of bleeding from deep branch of cystic artery and technical difficulties with the dissection. Neither deaths nor common bile duct injury were encountered in this study. Bleeding occurred in three patients, two of them needed blood transfusion. Mean operating time was reduced gradually, time for initial 20 patients was compared to last 20 patients [154 + or 32 minutes versus 80 + or 24.5 minutes, respectively]. Postoperative jaundice occurred in one patient due to retained stone that was managed by endoscopic sphinctrotomy. Mean hospital stay was 1.9 + or 0.3 days, and mean time to return to full activity was 12.2 +/- 5 days after operation. For this, laparoscopic cholecystectomy becomes the procedure of choice for most patients with gall stones and will continue to evolve as more experience is gained and new instruments are introduced

value of ultrasonography in DVT during pregnancy

32 pregnant patients with symptoms suggestive of D.V.T. were studied. Diagnosis was confirmed in 15 of these patients by the use of B-mode compression ultrasonography. Follow up revealed additional 2 patients with D.V.T. B-mode compression ultrasonography assisted by Doppler ultrasonography were used in this work. Venography was excluded because its known hazards to pregnant subjects. Involvement of the left limb was more common than the right [9/5], both sides were affected in 3 patients. Iliofemoral thrombosis was found in 10 patients while calf thrombosis existed in 7. Two patients were recurrent and pulmonary embolism complicated one case. The sensitivity and specificity of this B-mode compression ultrasonography in diagnosis of both iliofemoral and calf thrombosis were 15/17 [88.2%], 15/15 [100%] respectively