Issue: 2020, Vol. 25, No. 2

G. D. Odishelashvily, D. V. Pakhnov, L. G. Odishelashvily

COMPARATIVE EVALUATION OF RESIDUAL CAVITIES OBLITERATION METHODS AFTER DRANAIGE OPERATIONS FOR LIVER ECHINOCOCCOSIS

Keywords

echinococcosis, liver, operative intervention, povidone iodine, residual cavity

Abstarct

Objective – to evaluate the results of different methods of residual cavities obliteration after surgical treatment for hidatid forms of liver echinococcosis. Material and methods. 111 cases of surgical treatment for liver hidatid echinococcosis were analyzed. 58 patients (developed method with administration of 10% solution of povidone iodine for residual cavities obliteration was used) were enrolled into basic group, 53 patients composed control group (water solution of chlorhexidine for the same purposes was used). Results and discussion. Total obliteration of residual cavities took place on 10-15 days after the operation in the basic group. Duration of stay in in-patient department was amounting to 12,5 ± 1,0 days. All patients recovered and were discharged from the hospital in satisfactory condition. Total obliteration of residual cavities did not take place in the control group. Patients were discharged from the hospital at the average in 20,5 ± 1,2 days for ambulatory treatment. Complications were marked in 19 patients (35,8 %) of this group. Relapse of echinococcus cyst in 7 patients (18,9%) and formation of biliary fistulae in 4 patients (7,5%) were the most frequent complications. Conclusions. The suggested method of obliteration of residual postoperative echinococcus cyst allowed to reach its quick closure. The obtained positive results allowed to recommend the introduction of the developed method of residual cavities obliteration after echinococcusectomy into clinical practice.

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• Vestnik 2_2020-34-37