Surgical treatment of pulmonary hydatidosis: a single-centre experience of four years

Mohapatra, Biswajeet; Sivakumar, Poornima; Bhattacharya, Sudipto; Dutta, Sirshak

doi:10.1007/s12055-014-0315-8

Cited by 1 publication

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They may erode through the chest wall and present as chest wall masses, necessitans or a fistula, as seen in 3 (1.6%) patients. The lower lobes (50.5%), especially the right one (30.1%), were the commonest to be involved, due to its larger volume and the effect of gravity on the larvae, as they were transported in the pulmonary artery which confirmed with other studies [4,10]. Our study had 38 (20.4%) patients with both lung and liver involvement as in other studies [11].…”

Section: Discussionsupporting

confidence: 90%

“…In our study, majority of the patients underwent parenchymal preserving surgery, conforming to other studies [10]. Twenty patients (10.7%) required lung resections when an entire lobe or part of the lobe was involved by the cyst or was destroyed due to secondary infections as in other studies [2].…”

Section: Discussionsupporting

confidence: 76%

“…Echinococcosis seems to preferentially infect the younger age group (57.5%), in rural areas, as in other studies, since younger people are perhaps more in close association with canines [6,10]. The clinical presentation of THD depends upon the size and site of the cyst and complications if present.…”

Section: Discussionsupporting

confidence: 53%

“…Pre-operative medical treatment using benzimidazoles (albendazole or mebendazole) is recommended as an adjunct to surgery. We, as a protocol, initiated all patients with a diagnosis of THD on albendazole at first contact, in contrast to a study by Mohapatra et al, where pre-operative benzimidazoles were not prescribed [10]. There is a controversy regarding pre-operative albendazole therapy, with authors suggesting points for and against it [17,18].…”

Section: Discussionmentioning

confidence: 99%

“…The intermittent therapy has the disadvantage of allowing the surviving metacestodes to grow during the gaps [17,28]. Oral praziquantel was also prescribed post-operatively, once a week, for all patients for 6 weeks, as a part of dual anthelmintic regime in contrast to other studies available from India where only albendazole was administered [10]. The management protocol followed in our institute has been depicted in Fig.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Thoracic hydatid cysts: an analysis of surgical management in a tertiary care centre in India

Mohammad

Benjamin

Narayanan

et al. 2021

Indian J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Introduction and purposeThough hydatidosis is a ubiquitous zoonosis endemic to India, there is a dearth of literature regarding the management of thoracic hydatid disease (THD) in India. There are no surgical guidelines available. The aim of this study is to analyse the details of THD operated upon in a tertiary care hospital in India and propose a protocol for its management. Methods The case files of all adult patients operated upon for THD in our institution between 2009 and 2019 were retrieved and a retrospective study done. Results A total of 186 patients, 103 (55.4%) males and 83 (44.6%) females, with a mean age of 34.2 years were studied. The commonest symptom was cough as in 83 (44.6%) patients. Complications were seen in 22 (11.8%) patients. Computerized tomogram (CT) was confirmatory in most patients. Isolated pulmonary disease was seen in 135 (72.6%) patients with 153 (82.3%) uni-lobar involvement. Right lower lobe was most frequently involved as in 56 (30.1%). Extra-pulmonary, intrathoracic involvement was seen in 6 (3.2%) and synchronous extra-thoracic disease in 45 (24.2%) patients. All patients were initiated on anthelmintics. Postero-lateral thoracotomy was the commonest surgical approach. Twenty (10.7%) patients required lung resections. The mean hospital stay was 5.9 days. Air leak, seen in 10 (5.4%) patients, was the commonest post-operative complication. There was single in-hospital mortality. Age, diabetes mellitus, secondary bacterial infection of the cyst and cyst characteristics were found to significantly affect the surgical outcomes. Conclusion Surgery, the treatment of choice for THD, can be done with negligible morbidity and mortality and should be expedited to prevent complications. Risk factors should be identified pre-operatively for better decision-making. Adequate concurrent medical therapy may prevent recurrences. Prolonged follow-up is mandatory to detect late recurrences.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations