Surgical Treatment of Liver Hydatid
Surgical Treatment of Liver Hydatid involves the complete removal of parasites, prevention of spillage, and preservation of healthy liver tissue.
Preparation for Surgical Treatment of Liver Hydatid:
- Your medical history and any prescription drugs or supplements you’re taking will be discussed by your healthcare provider.
- Inform your healthcare provider if you have a history of bleeding disorders and let him know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting as you may need to stop taking these medicines before the procedure.
- If you are sensitive to or allergic to any medicines, latex, tape, contrast dyes, and anesthesia medicines (local and general), that should be informed.
- All the medicines you take including both over-the-counter and prescription medicines and also any vitamins, herbs, and other supplements should be informed.
- Do not eat or drink anything for up to 12 before the surgery.
- You should stop smoking temporarily or permanently if you’re ready to quit as smoking can make it harder for your body to heal after surgery.
- Any medications that is provided by your surgeon you should be taken right before surgery
Procedure for Surgical Treatment of Liver Hydatid:
- The necessity of surgical treatment is indicated by the physical condition of the patient and the characteristics of the hydatid cyst.
- Surgical treatment is done for complicated cysts, such as, cysts that develop a biliary fistula or perforated cysts and cysts that contain daughter cysts.
- Superficial cysts that are smaller than 10 cm or are at high risk of rupture can be treated surgically .
- Patients not suitable for percutaneous treatment are recommended for Surgical Treatment of Liver Hydatid.
- The main goals of a surgical approach to treating hydatid disease is complete obliteration of the parasite, evacuation of the cyst cavity, elimination of the residual cavity, inactivation of the parasite, and removal of the germinal layer.
- Conservative or a radical open approach and a laparoscopic approach are treatment approaches for Liver Hydatid.
- Conservative procedures are preferred by most surgeons in endemic areas
- Medical treatment with benzimidazole prior to any surgery must take place regardless of the technique chosen to treat each patient to achieve sterilization of the cyst content and prevent dissemination or anaphylaxis
- The operating field must be scrupulously packed along with the use of solutions that are capable of eradicating even the protoscolices of the parasite, within the content of the cyst in all cases.
- Hypertonic saline, povidone iodine, hydrogen peroxide, iodine, formalin, silver nitrate, and albendazole are some of the scolicidal solutions used in surgical approaches which can be used alone or in combination.
- Open surgery are used for cystic echinococcosis, deep, endoparenchimatic, or rear cysts, close to large vessels, containing multiple daughter cells or calcified cysts.
- Superficial cysts on the anterior side of the liver can be more suitably treated with laparoscopic surgery.
- Recurrence and complication rates are higher with conservative surgery as compared to those with radical surgery.
- Injection evacuation omentoplasty is the most common laparoscopic technique used.
- Only the parasitic cyst contents are removed in conservative procedures.
- The pericystic membrane is retained and the residual cavity is managed with different techniques such as omentoplasty, capitonnage, or external drainage.
- The removal of the cyst along with the pericystic membrane and parasitic contents also including liver resection if indicated is done in Radical surgery
