ABSTRACT
An analysis of differential diagnostics and results of treatment of hydatids in pelvis is described. For 36 year exploration and operations were fulfilled in 465 patients with hydatids of different localization, in 6 (1.3%) of them there was pelvic localization. Cystic formations of the ovaries were found in 211 girls, in 5 (2.4%) it was pelvic localization of hydatids. In 2 cases an isolated lesion of the small pelvis organs was noted, in 4 patients small pelvis hydatids were combined with lesions of other organs. The authors propose a scheme of differential diagnostics with neoplasms of the ovaries. All the patients underwent organ-saving operations. There were no relapses.
Subject(s)
Echinococcosis/diagnosis , Ovarian Cysts/diagnosis , Ovarian Neoplasms/diagnosis , Adolescent , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , Ovarian Cysts/parasitology , Ovarian Neoplasms/surgery , PelvisABSTRACT
The treatment results of 199 children with lung echinococcosis was performed. 78 (39.2%) had complicated forms of the disease. The organ-preserving operations were predominately performed: traditional echinococcectomy in 177 (89%) and videothoracoscopic echinococcectomy in 15 (7.5%). Lobe resection was performed in 2 patients. 5 patients cured without surgery thank to bronchial cyst evacuation. The long-term follow-up data were obtained from 163 (82%) of patients. Reccurense of the hydatid disease was registered in 8 (4.9%) patients. The study demonstrated the importance of immediate surgery after the cyst rupture with pleural dissemination and early recurrence diagnostics, which allows conservative treatment.
Subject(s)
Rupture, Spontaneous/surgery , Secondary Prevention , Thoracoscopy/methods , Thoracotomy/methods , Adolescent , Child , Child, Preschool , Early Medical Intervention/methods , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnostic imaging , Echinococcosis, Pulmonary/etiology , Echinococcosis, Pulmonary/physiopathology , Echinococcosis, Pulmonary/surgery , Female , Follow-Up Studies , Humans , Male , Radiography , Rupture, Spontaneous/diagnostic imaging , Rupture, Spontaneous/physiopathology , Thoracoscopy/adverse effects , Thoracotomy/adverse effects , Treatment OutcomeABSTRACT
Results of the immune-enzyme assay (IEA) of children with liver and lung echinococcosis before and after the operation were analyzed. The IEA accuracy was 91% for liver echinococcosis and 57% for lung echinococcosis. Sensitivity was 86% and 55, respectively. IEA was a reliable method of disease recurrence detection postoperatively. Conservative treatment of hydatid disease consisted of Antiparasitic and auxiliary therapy and was successfully applied in 7 patients with liver echinococcosis and 3 kids with combined affection. Preventive chemotherapy was carried out in 115 patients. During the 5 years follow-up period no recurrences was registered.
Subject(s)
Anticestodal Agents/therapeutic use , Echinococcosis, Hepatic/therapy , Echinococcosis, Pulmonary/therapy , Laparoscopy/methods , Thoracic Surgery, Video-Assisted/methods , Adolescent , Animals , Antibodies, Helminth/analysis , Child , Child, Preschool , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Pulmonary/diagnosis , Echinococcus/immunology , Echinococcus/isolation & purification , Female , Follow-Up Studies , Humans , Immunoenzyme Techniques , Male , Retrospective Studies , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Analysis of surgical treatment of children with multiple hepatic hydatid cysts is presented. The age of patients was from 4 till 14 years. Desensibilization, hemodynamic adjustment and treatment with hepatoprotectors were used on purpose of preoperative preparation. The general anesthesia was carried out on the basis of sevofluran and propofol. Anesthesia with sevofluran has advantage. It was proved by definition of level of stress hormones. One-stage surgical management is more preferable. In case of combination with hydatid disease of lung term between the operations has made 2-3 weeks. Treatment with hepatoprotectors, enzymes, antiparasitic therapy with albendozol, physiotherapy were used in postoperative period. Postoperative complications, lethal outcomes were not observed. Relapse has been revealed at 1 (2%) patient.
Subject(s)
Echinococcosis, Hepatic/surgery , Laparoscopy/methods , Adolescent , Animals , Antibodies, Helminth/analysis , Child , Child, Preschool , Echinococcus/immunology , Echinococcus/isolation & purification , Female , Follow-Up Studies , Humans , Immunoenzyme Techniques , Liver/diagnostic imaging , Liver/parasitology , Male , Retrospective Studies , Tomography, X-Ray Computed , Treatment Outcome , UltrasonographyABSTRACT
An experience with the diagnosis and surgical treatment of hydatid disease of the liver included 191 patients aged from 2 through 15 years, 26 of them had a combined involvement of the liver and lung, in 7 patients there were combined lesions with other organs. Complicated echinococcosis was noted in 25 children. Ultrasonography was given the main role in the diagnosis. Videolaparoscopic hydatidectomy of the liver was performed in 62 patients. Solitary cysts of small and medium sizes located superficially were considered as indications to operation. In patients with large and gigantic cysts of special significance was capitonnage of the residual cavity. Use of albendazole as an antiparasitic agent for the recurrent disease and a prophylactic agent after operation for multiple and combined hydatid disease of the liver was found to be sufficiently effective.
