title: External tube drainage or omentoplasty in the management of residual hepatic hydatid cyst cavity: a prospective randomized controlled study.
abstract: BACKGROUND
  Surgical procedures advocated for management of residual hepatic hydatid cyst cavity have been a subject of controversy. The aim of this study was to compare omentoplasty (OP) and external tube drainage (ETD).
  
  
  METHODS
  This was a prospective randomized controlled study conducted on radiologically documented cases of hepatic hydatidosis (n=50) in a tertiary care hospital of Kashmir. Patients were divided into two groups; in one group ETD was performed and in another OP was done.
  
  
  RESULTS
  Twenty-eight patients were offered ETD and 22 OP. There was no statistically significant difference in mean operative time. The overall complication rate was higher in ETD (42.86%) as compared to OP (22.73%). In ETD group two patients had bile leak and infection of residual cavity each; whereas no such complication was seen in OP. The mean pain scores were elevated in ETD (p<0.0016).The mean hospital stay was more in ETD as compared to OP (p<0.0031). Also time for resumption of activities of daily life was more in ETD (p<0.0026). The recurrence of disease was seen in three patients in ETD as compared to none in OP.
  
  
  CONCLUSIONS
  Omentoplasty offers a number of advantages over external tube drainage and should remain the preferred option whenever possible.
authors.affiliation: Department of Surgery, Government Medical College, Srinagar, India.
authors.forename: Ajaz A
authors.initials: AA
authors.lastname: Wani
authors.forename: Arshad
authors.initials: A
authors.lastname: Rashid
authors.forename: Asim R
authors.initials: AR
authors.lastname: Laharwal
authors.forename: Showkat M
authors.initials: SM
authors.lastname: Kakroo
authors.forename: M
authors.initials: M
authors.lastname: Abbas
authors.forename: Manzoor A
authors.initials: MA
authors.lastname: Chalkoo
mesh_terms: D000328:Adult; D004444:Echinococcosis, Hepatic / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009852:Omentum / Q000637:transplantation*; D011446:Prospective Studies; D011859:Radiography; D013396:Suction / Q000009:adverse effects / Q000295:instrumentation*; D016896:Treatment Outcome
keywords: external tube drainage; hydatid cyst; laparoscopy; liver; omentoplasty
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