Surgical procedures for abdominal hydatid cyst: a mini-review

Hydatid disease [HD] may occur in any intra-abdominal organ and the liver is the most frequently involved. Surgery is the treatment choice for this disease. A retrospective study of 95 patients [64 female and 31 male, aged 5 to 82 years] with intra-abdominal HD. Eighty eight patients were symptomatic and the remaining seven asymptomatic. HD diagnosis was accomplished with laboratory tests, imaging techniques and serological tests. All of our material underwent surgical treatment, 61 patients by endocystectomy with drainage of the remaining cavity [by external tube or marscipulization], 23 by endocystectomy with obliteration of the remaining cavity [by omentoplasty or capitonnage] and 11 patients by cystectomy or organectomy [splenectomy, nephroectomy, cholecystectomy or cyst excision]. The morbidity rates were higher in drainage techniques compared with obliteration techniques or cystectomy [24.21%, 5.4% and 1.1 respectively]. Infections of the remaining cavity was the most common complications in 11 [11.6%] patients, followed by prolonged externqal drainage 7 [7.4%], biliary discharge 4 [4.2%] and recurrence 2 [2.1%] [table2]. Over all mortality rate 3.6%, represented by 3 patients died in our study, 2 of them due to septicaemia and one patient due to pulmonary embolism. Cysectomy and obliterating of the remaninig cavity [omentoplast and capitonnage] techniques could be advised for uncomplicated hydatid disease

brief discussion complications of thyroid surgery at El-Thoura teaching hospital

As every operation, thyroid surgery carries risk to complications, which may transient or permanent Objective of this study was to explore our expereince in thyroidectomy performed for seventy nine patients in General Surgical Departmen of El-Thoura Central Teaching Hospital El-beida, Libya, for a peroid of two years [from May 2003 to April 2005]. Twenty eight [35.4%] patients of them operated by lobo-isthmoectomy, 39 149.4%] sub-total thyroidectomy, 6 [7.6%] near total thyroidectomy, 4 15.1%] total thyroidectomy and the remaining 2 [2. 5%] patients by enculation of simple cyst Post-operatively; reccurent laryngeal nerve [RLN] injury and hypoparathyroidism were transient for a few months and were not common [3.6% and 2.5% respectively]. Wound infection occurred in two [2.5%] cases and hypothyrodism in one [1.3%] case. Severe primary heamorrhage was not developed in our material. Complications of thyroid surgery are fear to patient and surgeon; can be prevented or minimized when the surgery performed under optimal condition by an experienced hand surgeon with meticulous surgical techniques