External tube drainage or omentoplasty in the management of residual hepatic hydatid cyst cavity: a prospective randomized controlled study

Wani, Ajaz Ahmad; Rashid, Arshad; Laharwal, Asim Rafiq; Kakroo, Showkat Majeed; Abbas, Mohamed; Chalkoo, Manzoor Ahamad

doi:10.3205/000179

Cited by 16 publications

(5 citation statements)

References 13 publications

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“…Twenty-six studies on liver surgery were included 56 , 58 , 60 , 62 , 64 , 66 , 69 , 71 , 73 , 75 , 77 , 79 , 81 , 83 , 85 , 87 , 89 , 91 , 93 , 95 , 97 , 99 , 101 , 103 , 105 , 107 , with the majority of surgical interventions relating to hepatic hydatid cysts. This study included 1994 individuals, 1056 of whom had omentoplasty and 938 did not.…”

Section: Resultsmentioning

confidence: 99%

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

Peng,

Xiong,

Ding

et al. 2024

International Journal of Surgery

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Background: Omentoplasty is commonly used in various surgeries. However, its effectiveness is unsure due to lack of convincing data and research. To clarify the impact of omentoplasty on postoperative complications of various procedures, this systematic review and meta-analysis was performed. Methods: A systematic review of published literatures from four databases: PubMed, Web of Science, Cochrane Library, and Embase before July 14, 2022. We primarily included publications on five major surgical operations performed in conjunction with omentoplasty: thoracic surgery, esophageal surgery, gastrointestinal surgery, pelvi-perineal surgery, and liver surgery. The protocol was registered in PROSPERO. Results: This review included 25 273 patients from 91 studies (n=9 670 underwent omentoplasty). Omentoplasty was associated with a lower risk of overall complications particularly in gastrointestinal (RR 0.53; 95%CI 0.39-0.72) and liver surgery (RR 0.54; 95%CI 0.39-0.74). Omentoplasty reduced the risk of postoperative infection in thoracic (RR 0.38; 95%CI 0.18-0.78) and liver surgery (RR 0.39; 95%CI 0.29-0.52). In patients undergoing esophageal (RR 0.89; 95%CI 0.80-0.99) and gastrointestinal (RR 0.28; 95%CI 0.23-0.34) surgery with a BMI greater than 25, omentoplasty is significantly associated with a reduced risk of overall complications compared to patients with normal BMI. No significant differences were found in pelvi-perineal surgery, except infection in patients whose BMI ranged from 25 kg/m2 to 29.9 kg/m2 (RR 1.25; 95%CI 1.04-1.50) and anastomotic leakage in patients aged over 60 (RR 0.59; 95%CI-0.39-0.91). Conclusion: Omentoplasty can effectively prevent postoperative infection. It is associated with a lower incidence of multiple postoperative complications in gastrointestinal and liver surgery.

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Section: Resultsmentioning

confidence: 99%

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

Peng,

Xiong,

Ding

et al. 2024

International Journal of Surgery

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“…One of the key points of the operation is how to dispose of the communication of cysts and biliary tracts. Suturing the bile fistula during operation is efficient prevention, but for some concealed bile fistula or residual cavity with the potential risk of bile leakage, packing with greater omentum can be used for prevention and treatment, which could absorb the liquid in the residual cavity and accelerate the healing of residual cavity and biliary fistula ( 19 , 21 , 22 ). In this case, we used greater omentum packing combined with negative pressure suction to prevent and treat postoperative biliary leakage and obtained significant effect, accumulating relevant experience consequently.…”

Section: Discussionmentioning

confidence: 99%

Multiple cystic echinococcosis in abdominal and pelvic cavity treated by surgery with a 4-year follow-up: a case report

Yan,

Chu,

Yang

et al. 2024

Front. Med.

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We report a case of a male patient who presented with multiple abdominal and pelvic echinococcosis. The patient had been diagnosed with hepatic echinococcosis for 7 years and developed intermittent distension and discomfort in the upper abdomen after an accidental fall. In recent years, the patient’s abdominal distention increased gradually. Computed tomography revealed multiple hydatid cysts in the liver, spleen, abdominal cavity, and pelvic cavity. Abdominal organs were severely compressed, such that he could not eat normally except for a liquid diet. The patient underwent radical surgical resection based on the multi-disciplinary treatment (MDT) and the operation lasted 10 h, nearly 100 hydatid cysts were excised, about 18 liters of cyst fluid and cyst contents were removed, and the patient lost 20 kg of weight after surgery. The operation was successful, but there were still some postoperative complications such as hypovolemic shock, postoperative ascites, postoperative bile leakage. Treatment measures for the patient were anti-infection, antishock, clamping the abdominal drainage tube, and negative pressure abdominal puncture drainage. At follow up the patient’s quality of life had been significantly improved with 15 kg weight gain compared to before.

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“…Among the studies that have addressed this question, only the study by Manterola et al [ 42 ] showed that capitonnage resulted in less morbidity than omentoplasty. Two other randomized controlled trials [ 11 , 43 ] demonstrated the superiority of omentoplasty in reducing deep infections. The meta-analysis by Dziri et al [ 9 ] showed a protective effect of omentoplasty compared to simple drainage of the cavity.…”

Section: Discussionmentioning

confidence: 99%

Standardized approach to the conservative surgery of hepatic cystic echinococcosis: A prospective study

Trigui,

Fendri,

Saumtally

et al. 2024

PLoS Negl Trop Dis

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Objective Surgery is the mainstay of hepatic cystic echinococcosis (HCE). The conservative surgery of HCE carries a non-negligible risk of recurrence and significant morbidity, dominated by Deep Surgical Site Infections (DSSI). To address these issues, we have improved and standardized this technique, which could reduce complications and achieve better postoperative outcomes. Patients and methods We conducted a prospective study from June 2017 to June 2022 involving of patient operated using a standardized open technique for uncomplicated HCE at Habib Bourguiba University Hospital, Sfax, Tunisia. The aim was to obtain results at least similar to radical management in terms of DSSI. Patients with large cystobiliary fistulas or patients with complicated cysts were excluded. Results Fifty patients with 106 cysts were operated using the standardized technique comprising of liver mobilization, intraoperative ultrasound, systematic methylene blue injection to detect cystobiliary fistulas and omentoplasty. The median age of the patients was 44(semi-interquartile range: 16) years. The main symptom described by the patient was pain in 43 cases (86%). An abnormal liver test was found in 20 cases (40%). On imaging studies, the cyst had a median size of 7.4(3.0) cm. Cyst of the hepatic dome accounted for 38 cases (35.8%) with most cysts being situated in the right hemi-liver. Visual inspection of the cavity and Methylene blue testing allowed for the discovery of 57 cysts (53.7%) that had cystobiliary fistulas that were sutured. Omentoplasty was performed in 77 cysts (72.6%). Postoperatively, only 2 cases (1.9%) developed a DSSI in the form of an external bile leak with resolved with conservative management. No case of recurrence was found after a median follow-up of 24 months. Conclusion The standardized conservative surgical technique, in selected patients, shows promise in reducing DSSI rates and overall morbidity, and achieve as equally good result as radical management.

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External tube drainage or omentoplasty in the management of residual hepatic hydatid cyst cavity: a prospective randomized controlled study

Cited by 16 publications

References 13 publications

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

Multiple cystic echinococcosis in abdominal and pelvic cavity treated by surgery with a 4-year follow-up: a case report

Standardized approach to the conservative surgery of hepatic cystic echinococcosis: A prospective study

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