Background and Objectives: The surgical treatment of liver hydatid disease has evolved dramatically and laparoscopic treatment has shown encouraging results with the advantages of minimally invasive surgery. We conducted this study to determine the outcome of laparoscopic management of hydatid disease of the liver.Methods: Consecutive patients with this disease reporting to our department from July 2014 to July 2015 were offered laparoscopic management. All patients received pre- and postoperative albendazole. The laparoscopic technique consisted of aspiration of the cyst fluid, sterilization, suction and drainage of the cavity, deroofing and addition of omentoplasty. Age, sex, duration of surgery, surgical morbidity, hospital stay and evidence of hydatid cyst recurrence were measured.Results: Twenty six patients had laparoscopic treatment for hepatic hydatid cysts. Females were 18 (69.2%) and males were 8 (30.8%). Mean age of patients was 37.46 ± 15.96 years (range 17-74 years). Pain was the commonest presentation occurring in 21 (80.8%).The right lobe of the liver was most commonly involved in 20 patients (76.9%). The mean cyst size was 6.77 cm (range, 5 cm to 12 cm). Minor spillage of cyst contents occurred in 5 patients (19.23%) and major spillage occurred in 1 patient (3.8%). The mean duration of surgery was 84.81 ± 28.93 minutes (range 50 – 150 minutes). Conversion was needed in 2 (7.7%). Complications included portsite infection in 2 (7.7%), bile leak in 3 (11.5 %), fever in 5 (19.2%) and chest infection in 2 (7.7%) cases. Mean hospital stay is 4.58 ± 3.40 days (range 3-16). There was no mortality in the series. The average follow-up period is 7.81 ± 2.57 months. There have been no recurrences to date however 1 patient was lost to follow up.Conclusion: Laparoscopic management of hydatid cysts of the liver is a safe and effective option with advantage of minimally invasive surgery in properly selected patients.
Introduction: Laparoscopic cholecystectomy has rejuvenated general surgery and in very short time has become the gold standard operation for benign gallbladder disease, but the procedure is technically more demanding than the classical open cholecystectomy. Although introduction of laparoscopic cholecystectomy has dramatically affected the management of patients with biliary disease
CT scan is an indispensable diagnostic modality and GCS as a clinically vital entity in evaluating the head injured patients and predicting their outcome. CT and GCS are also found complimentary to each other. CT most reliably demonstrates trauma related intracranial lesions and thus aid in prompt and effective management. GCS is a relevant prerequisite for further evaluation by CT and in a developing nation likeIndia with highest incidence of head injury affecting people of all economic groups, it can cut short necessity of CT, particularly in the mild injury group as assessed by Glasgow coma scale.
Introduction: Lower GI malignancies though more common in the western part of world and are increasing in our country for the past decade. Colorectal cancer is the most common malignancy in the gastrointestinal
Background: A volvulus is a rotation of a loop of bowel usually on its mesenteric axis, most commonly occurring in the sigmoid colon in the adult. Since its description in 1836 by
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.