Single-center experience in the surgical treatment of combined lung Echinococcosis

Shirtaev, B.K.; Mukhtar, Sundetov; Ruslan, K.; Denis, Voronin; Gulziya, Ismailova

doi:10.15537/smj.2018.1.21169

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…It was shown that PI had success as a sclerosing agent in spaces with surrounded inline epithelium in recurrent fluid accumulation cases (26). It is reported that PI is a safe and effective sclerosing agent in lymphocele, pleural effusion, empyema, pericardial effusion, thyroid cysts, hydrocele, and lung Echinococcosis (26)(27)(28). PI was first used as a sclerotherapy agent by Teruel et al (29).…”

Section: Discussionmentioning

confidence: 99%

Investigation of treatment efficacy of 10% povidone–iodine sclerotherapy on ovarian cyst diameter: an experimental study

2019

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Introduction Ovarian cysts are common, affecting 20% of women at some point in their lives (1). Unlike unilocular cysts including septations, solid irregular wall, or internal plaques, the simple ovarian cyst is defined as an anechoic round or oval lesion (2). The maximum diameter of simple ovarian cysts in premenopausal women is less than 5 cm; they often disappear during the menstrual cycle and do not require further intervention. Larger cysts (5-7 cm) should be followed using ultrasonography. Cysts larger than 7 cm may require advanced imaging or surgery (3). In the treatment protocols for benign ovarian cysts, methods such as medical treatment (especially oral contraceptives), ultrasound-guided aspiration, laparoscopy (cystectomy or ablation of drainage and cystic wall), and laparotomy (cystectomy) are used (4,5). Sclerotherapy can be used for women who have ovarian cysts but want to protect their fertility and do not want surgical treatment (6). It has been reported that sclerotherapy has many advantages such as minimal trauma, lower surgical risks and complications, low cost, and reduced recurrence rates (7,8). USG-guided aspiration and sclerotherapy have been reported as a low-cost and effective treatment for benign cysts localized in other organs such as the thyroid, parathyroid, liver, kidney, and spleen (9). Tetracycline, methotrexate, and ethanol are the most common agents used for sclerotherapy. When compared to women without cysts, sclerotherapy applied to infertile women with ovarian cysts has been shown to reduce pelvic pain without affecting the number of follicles, term pregnancy and abortion rates, the number of obtained oocytes, embryo quality, or hormonal levels (10-13). Compared to other sclerosing agents, povidone-iodine (PI) is a less toxic, less irritating, economical, and readily available agent. In addition to local antiseptic, antibacterial, and antifungal effects, it has a sclerotherapeutic effect, and preparation of it at the desired concentration is easy (14). Background/aim: The purpose of this study was to investigate the effects of 10% povidone-iodine (PI) sclerotherapy on ovarian cyst diameter through an experimental study. Materials and methods: To be able to create ovarian cysts, right unilateral salpingectomy was performed on 20 Wistar albino rats. One month after the operation, the abdomens of all rats were reopened. Sixteen rats with macroscopic ovarian cysts were divided randomly into 2 groups consisting of 8 rats. Group 1 (G1): the cyst content was only aspirated. Group 2 (G2): the ovarian cyst was aspirated and then the cystic cavity was irrigated with PI. Abdomens of all rats were closed and 1 month later they were reopened. Tissues of the right ovaries of the rats were embedded in paraffin blocks for histopathological examination. Follicle count, fibrosis, and congestion were evaluated under a light microscope. Results: For G1, there was no difference in cyst diameters before and after aspiration. In G2, a decrease was observed in cyst diameter. There was no difference ...

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Section: Discussionmentioning

confidence: 99%

Investigation of treatment efficacy of 10% povidone–iodine sclerotherapy on ovarian cyst diameter: an experimental study

2019

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“…The role of surgery is paramount in the treatment of this disease, for it is the only way to achieve a radical cure (9). Since the complete evacuation of the cyst and removal of the endocyst are essential in the radical resection, thoracotomy is recognized as the standard surgical method due to its ability to provide a better operating space for avoiding contamination and spillage (10). With the development of minimally invasive surgery, video-assisted thoracoscopic surgery (VATS) has been more widely applied in treating benign and malignant pulmonary diseases (11,12).…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of video-assisted thoracoscopic surgery and thoracotomy in the treatment of pulmonary hydatid disease in the Tibetan Plateau: a retrospective study

Cai¹,

Li²,

Luo³

et al. 2022

J Thorac Dis

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Background: Although video-assisted thoracoscopic surgery (VATS) plays an increasingly significant part in treating thoracic disease, the role of thoracotomy is not replaced in cystic echinococcosis. The aim of this study was to demonstrate the application of VATS and traditional thoracotomy in the treatment of pulmonary hydatid disease in Shigatse of the Tibet Plateau and to compare the clinical safety and efficacy of these two surgical approaches.Methods: A total of 53 patients with pulmonary hydatid who received thoracoscopic cystectomy with needle aspiration from January 2015 to December 2020 were enrolled in the study, and 126 patients who received thoracotomy during the same period were matched as the control group. The clinical characteristics, operative time, incidence of perioperative complications, length of stay, and hospitalization cost of the VATS and thoracotomy groups were analyzed to compare the safety and efficacy. Patients were followed up through telephone and outpatient service. In order to balance potential confounding baseline factors, propensityscore matching (PSM) was applied to establish a 1:1 VATS to thoracotomy group ratio.Results: There were statistically significant differences between the VATS group and the thoracotomy group in operative time, blood loss, drainage volume, and postoperative hospital stay (P<0.05), with the VATS group being superior to the thoracotomy group. There were no significant differences in postoperative complications, adverse imaging outcomes, or recurrence rates between the 2 groups. In terms of complications, there was no significant difference in the incidence of postoperative air leakage, atelectasis, or other common complications between the 2 groups, while the frequency of postoperative fever and incision infection in the thoracotomy group was significantly higher than that in the VATS group (P<0.05).Moreover, the postoperative recurrence rate between the 2 groups showed no significant difference after a 3-year follow-up.Conclusions: Compared to traditional thoracotomy, VATS had acceptable efficacy and safety and it could further accelerate postoperative recovery and reduce the cost in the treatment of pulmonary hydatid disease in the Tibetan Plateau. Thus, VATS should be promoted more widely to other Tibetan regions.

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Single-center experience in the surgical treatment of combined lung Echinococcosis

Cited by 2 publications

References 22 publications

Investigation of treatment efficacy of 10% povidone–iodine sclerotherapy on ovarian cyst diameter: an experimental study

Investigation of treatment efficacy of 10% povidone–iodine sclerotherapy on ovarian cyst diameter: an experimental study

Efficacy and safety of video-assisted thoracoscopic surgery and thoracotomy in the treatment of pulmonary hydatid disease in the Tibetan Plateau: a retrospective study

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