title: Capsulorrhaphy in the management of liver hydatid cyst.
abstract: BACKGROUND
  Hydatid disease is a major health problem in some parts of the world. There are several nonoperative and operative ways to treat hydatic disease. The aim of this retrospective study is to assess the rate of postoperative complications, mortality rate, hospitalization period, and recurrence for capsulorrhaphy method, and to compare it with other hydatic cyst management techniques.
  
  
  METHODS
  An open surgical procedure using capsulorrhaphy technique was performed on 250 patients (130 men and 120 women) with uncomplicated hydatic cysts in the Northwest of Iran, between 1989 and 2011.
  
  
  RESULTS
  The patients stayed in the hospital between 4 and 10 days, with an average of 5 days. Of the patients, 233 (93.2%) were discharged without any complications, 9 (3.6%) developed a wound infection in the abdominal wall, and 7 (2.8%) developed pulmonary atelectasis. Those who developed an infection or an atelectasis stayed in the hospital for few more days for conservative treatments. One of the patients (0.4%) had external biliary fistula and bile leak, which was treated with surgery and Roux-en-Y cystojejunostomy. During follow-ups (13.2 ± 8.5 months), incisional hernias occurred in 5 (2%) patients and hydatid cyst recurrence affected 7 (2.8) patients. The mortality rate was zero amongst the studied patients.
  
  
  CONCLUSIONS
  Compared to other techniques in the literature, the results presented in the current work indicate that capsulor-rhaphy is an efficient method in terms of decreased postoperative complications, recurrence, and hospitalization period, and is a safe method with low morbidity and zero mortality rates.
authors.affiliation: Department of General Surgery, Imam Reza Hospital, 25th Golgasht Street, Tabriz-14756, East Azerbaijan, Iran.
authors.forename: Samad
authors.initials: S
authors.lastname: Mosaddeghi K
authors.affiliation: Tabriz University of Medical Sciences, Daneshgah Street, Tabriz-14766, East Azerbaijan, Iran.
authors.forename: Hengameh K
authors.initials: HK
authors.lastname: Heris
authors.affiliation: Department of General Surgery, Imam Reza Hospital, 25th Golgasht Street, Tabriz-14756, East Azerbaijan, Iran.
authors.forename: Amrollah
authors.initials: A
authors.lastname: Bayat
authors.affiliation: Tabriz University of Medical Sciences, Daneshgah Street, Tabriz-14766, East Azerbaijan, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Mosaddeghi K
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000077286:Cetrimonium; D002593:Cetrimonium Compounds / Q000627:therapeutic use; D002648:Child; D015331:Cohort Studies; D004322:Drainage / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007492:Iran; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000891:Anti-Infective Agents, Local; D002593:Cetrimonium Compounds; D000077286:Cetrimonium