Capitonnage seems better in childhood pulmonary hydatid cyst surgery

Ksia, Amine; Fredj, Manel Ben; Zouaoui, A.; Kechiche, Nahla; Belhassen, S.; Mosbahi, Sana; Youssef, Sabrine Ben; Sfar, Sami; Lamiri, Rachida; Sahnoun, Lassâad; Mekki, Mongi; Belghith, Mohsen; Bokhary, Abdulmohsen; Nouri, Abdellatif

doi:10.1016/j.jpedsurg.2019.05.009

Cited by 19 publications

(23 citation statements)

References 12 publications

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“…In children, hydatid cysts occur mainly in the lungs and less often in the liver; however, in adults, the opposite is true. [3,8,9] Only 10 patients had liver cysts in the current study. Patients with intact cysts are usually asymptomatic; however, some do develop symptoms such as cough, dyspnoea, fever and chest pain.…”

Section: Discussionmentioning

confidence: 72%

“…The majority of the cysts (71.1%) were in the right side of the lung and lower lobes were more commonly affected, in line with the literature. [3,4,[8][9][10] The gold standard for managing PHCs of any size is lungconservation surgery. This ensures that the maximum amount of viable lung is maintained while ensuring complete removal of all viable parasite material.…”

Section: Discussionmentioning

confidence: 99%

“…This ensures that the maximum amount of viable lung is maintained while ensuring complete removal of all viable parasite material. [2][3][4][5][6][7][8]10] Different surgical procedures have been described in the literature, such as enucleation (Ugon method) with or without capitonnage, [4] pericystectomy (Perez-Fontana method), [5] cystotomy with capitonnage (Barrett's method), [2] cystostomy with the closure of the bronchial openings alone, [11] open aspiration by the Figuera technique, [10] and lung resection (i.e. wedge resection, segmentectomy and lobectomy).…”

Section: Discussionmentioning

confidence: 99%

“…South America, Australia, India, the Middle East, sub-Saharan Africa and Mediterranean countries. [1][2][3] South Africa (SA) has a large rural community where livestock subsistence farming is common. Hydatid disease is caused by a parasite, Echinococcus granulosus, that accidentally infects humans.…”

mentioning

confidence: 99%

“…[1,3,7] Symptoms of pulmonary hydatid disease include cough, chest pains, fever, dyspnoea and rarely expectoration of salty material. [3][4][5] However, the rupture of the cyst into either the airways or pleural space may result in haemoptysis or pleural effusion, which usually complicates into an empyema. Chest radiography and computed tomography (CT) scan of the chest and upper abdomen are usually the imaging modalities used to achieve the diagnosis of pulmonary hydatidosis.…”

mentioning

confidence: 99%

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Surgical management of pulmonary hydatid cysts in children in KwaZulu-Natal Province, South Africa

Ngcobo

Madansein

Ndlovu

et al. 2020

Afr J Thorac Crit Care Med

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Background. Pulmonary hydatid cyst disease is still a major problem in countries like South Africa (SA), where livestock farming is common. Hydatidosis has a variable clinical course depending on the size, location and complications of the cyst. For pulmonary cysts of any size, surgery remains the gold standard for treatment, with lung conservation surgery being the ideal. Objectives. To describe the epidemiology, clinical presentation, surgical management, and surgical outcomes of paediatric pulmonary hydatid disease in children referred to the Department of Cardiothoracic Surgery at Inkosi Albert Luthuli Central Hospital (IALCH) in KwaZulu-Natal Province, SA. Methods. We retrospectively reviewed and analysed the medical records of 38 children between the ages of 0 and 18 years with pulmonary hydatid cysts, who were referred to the Department of Cardiothoracic Surgery at IALCH and underwent surgical management between 1 January 2008 and 31 December 2018. The medical records were evaluated for patients' demographics, clinical evaluation, surgical management strategies and surgical outcomes. Results. Of the 38 patients, 60.5% were male, with a mean age of 6.5 years. More than two-thirds of the patients (68.4%) were from the Eastern Cape and 31.6% were from KwaZulu-Natal. The majority of the cysts (84.2%; n=32) were classified as large (5-9 cm in diameter) and giant (≥10 cm in diameter). Forty-eight surgical procedures were performed and lung preservation surgery by enucleation and capitonnage was preferred. Some patients developed postoperative complications such as prolonged air leaks from bronchopleural fistula (18.8%; n=9) and 88.9% (n=8) of these patients healed with chest tube drainage and physiotherapy. Lung resection was only required in 4% (n=2) of the patients. The mean (standard deviation) number of days spent in hospital was 7 (4) days. All children survived with no recurrences. Conclusion. Conservative surgical procedures such as enucleation of the cysts of any size are possible, safe, reliable and reproducible.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Surgical management of pulmonary hydatid cysts in children in KwaZulu-Natal Province, South Africa

Ngcobo

Madansein

Ndlovu

et al. 2020

Afr J Thorac Crit Care Med

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The Impact of Pulmonary Hydatid Cyst Rupture on COVID-19 Symptom Severity

Pagheh,

Pazoki,

Azarkar

et al. 2024

Acta Parasit.

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Scolicidal activity of biosynthesized zinc oxide nanoparticles by Mentha longifolia L. leaves against Echinococcus granulosus protoscolices

et al. 2021

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Cystic echinococcosis is a public health problem in developing countries that practice sheep breeding extensively. In the current study, the protoscolicidal activity of biosynthesized zinc oxide nanoparticles (ZnO NPs) derived from Mentha longifolia L. leaf extracts was investigated. The resultant ZnO NPs were characterized by means of various analytical techniques, such as ultraviolet–visible (UV–Vis) spectrometry, Fourier transform infrared (FT-IR) spectrophotometry, X-ray diffraction (XRD), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDX) analysis. The results showed that the ZnO NP had the highest scolicidal activity at 400 ppm concentration after 150 min of exposure time, showing 100% mortality rate. The treated protoscolices exhibited loss of viability with several morphological alterations. Hence, an easy and effective green synthesis of ZnO NPs, with efficient scolicidal potential, is reported in this study.

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Capitonnage seems better in childhood pulmonary hydatid cyst surgery

Cited by 19 publications

References 12 publications

Surgical management of pulmonary hydatid cysts in children in KwaZulu-Natal Province, South Africa

Surgical management of pulmonary hydatid cysts in children in KwaZulu-Natal Province, South Africa

The Impact of Pulmonary Hydatid Cyst Rupture on COVID-19 Symptom Severity

Scolicidal activity of biosynthesized zinc oxide nanoparticles by Mentha longifolia L. leaves against Echinococcus granulosus protoscolices

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