Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage.
OBJECTIVE
To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts.


METHODS
Prospective study.


METHODS
University and teaching hospital, Turkey.


METHODS
108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.


METHODS
Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.


METHODS
Morbidity, mortality, and hospital stay.


RESULTS
The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty.


CONCLUSIONS
Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.
Ozacmak
I D
ID
Department of General Surgery of Taksim Teaching Hospital, Istanbul University, Turkey.
Ekiz
F
F
Ozmen
V
V
Isik
A
A
D000328:Adult; D004322:Drainage / Q000009:adverse effects; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009017:Morbidity; D009852:Omentum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies