Should intraoperative ultrasonography be used routinely in hepatic hydatidosis?
OBJECTIVE
Recurrent or secondary hydatidosis are the most important problems of hepatic hydatidosis in the late postoperative period. The spread of cystic liquid, overlooked centrally located or pericystic satellite cysts that are inconspicuous during operation are the basic reasons for the problem.


METHODS
In order to prevent the risk of recurrent or secondary hydatidosis, 22 liver hydatid cystic patients were taken for a prospective study. Beyond the routine investigations and researches, after the completion of conventional surgical procedures, intraoperative ultrasonography was applied to all patients.


RESULTS
In three patients the existence of cysts were not found by conventional research (13.63%), in another patient (4.54%) cysto-biliary communication which had been determined clinically but was invisible due to difficulty in anatomic localization was verified by means of intraoperative ultrasonography.


CONCLUSIONS
Intraoperative ultrasonography has been thought to be beneficial to find centrally localized cysts which may be inconspicuous especially in cases of multiple cysts.
Dervisoglu
Adem
A
Department of General Surgery, OMU Medical Faculty, Samsun, Turkey.
Erzurumlu
Kenan
K
Taç
Kivanç
K
Arslan
Ali
A
Gürsel
Mahmut
M
Hökelek
Murat
M
D000328:Adult; D000368:Aged; D004444:Echinococcosis, Hepatic / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014463:Ultrasonography