The role of omentoplasty in the surgical management of remnant cavity in hepatic hydatid cyst

Muftuoglu, M.A. Tolga; Köksal, Neşet; Topaloğlu, Ümit

doi:10.1080/13651820410022889

Cited by 26 publications

(28 citation statements)

References 8 publications

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“…Another factor contributing to early discharge of patients in the OP group was the absence of bile leak and consequent early removal of the tube drain. Data published by Muftuoglu et al [21] and Utkan et al [22] support our study. We did not encounter any mortality.…”

Section: Discussionsupporting

confidence: 92%

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

Wani

Rashid²,

Laharwal³

et al. 2013

GMS German Medical Science; 11:Doc11; ISSN 1612-3174

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Section: Discussionsupporting

confidence: 92%

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

Wani

Rashid²,

Laharwal³

et al. 2013

GMS German Medical Science; 11:Doc11; ISSN 1612-3174

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“…In our opinion, performing an omentopexy and a thoracomyoplasty after the infection is under control is a more widely accepted approach. As reported in previous studies, the omentum is a well-perfused tissue ideal for infected areas, and it protects the bronchial stump [10,16]. Once the BPF is closed, the treatment we have recently applied in postpneumonectomic empyema is vacuum assisted closure [17].…”

Section: Resultsmentioning

confidence: 89%

Management of Postpneumonectomy Bronchopleural Fistulae

2016

Ann Clin Anal Med

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ÖzetAmaç: Postpnömonektomik bronkoplevral fistül (PPBPF), pnömonektomi sonrası görülebilen, tedavisi zor ve uzun soluklu bir komplikasyondur. Tedavide sabit görüş olmamakla birlikte resütüre edilemeyen fistüllerin fleb ile örtül-mesi genel prensiptir. Omentumun fleb olarak seçimi tedavi başarısını arttırabilir.Çalışmamızın amacı kliniğimizde tedavi edilmiş PPBPF'lü hastaların değerlendirilmesi ve omentopeksinin önemini tartışmaktır. Gereç ve Yöntem: Göğüs cerrahisi kliniğinde 2011-2014 yılları arasında yapılan 162 pnömonek-tominin 12'sinde PPBPF gelişti. Bu hastaların demografik özellikleri, fistül tedavi stratejileri, morbidite ve mortaliteleri geriye dönük ameliyat kayıtları ve hastane bilgi bankasından incelendi. Bulgular: Çalışmamızdaki PPBPF oranı % 7,4 olarak tespit edildi. On hastada bronkoplevral fistülü bir dizi tedavi ile kapatılabilmiştir. Sekiz hastaya omentopeksi'nin temelinde olduğu bir dizi tedavi uygulanmıştır. Biri haricinde fistül tedavisi başarılı olmuştur. Başarıya ulaşan diğer hastalarda erken dönemde stapler ile resütürasyon ve erken dö-nemde vakum yardımlı kapama yapılabilmiştir. Bronkoplevral fistül kapatıla-madığı için başarısız kabul edilen hastalardan birinde ARDS nedeniyle hasta kaybedildiği için tüm tedavi seçenekleri denenememiş, diğerinde ise tüm tedavi seçenekleri (elosser flebi, trakeal stent, omentopeksi, torakomyoplasti, vakum yardımlı kapama) denenmiş olmasına rağmen başarı sağlanamamış-tır. Tartışma: PPBPF göğüs cerrahisi kliniklerinin en önemli morbidite ve mortalite sebeplerinden biridir. Tedavisi uzun sürebileceği için iyi planlanmalı ve bu tedaviler bu konuda tecrübeli klinikler tarafından uygulanmalıdır. Omentumun kanlanması iyi olduğu için göğüs cerrahları tarafından sık olarak tercih edilmektedir. Tecrübeli ellerde yapılan omentopeksi ve j tipi trakeal stent uygulamasının fistül tedavisinde başarılı olduğunu düşünmekteyiz. Anahtar KelimelerPostpnömonektomik; Bronkoplevral; Fistül Abstract Aim: Postpneumonectomy bronchopleural fistula (PPBPF) is a hard-to-treat complication that may develop after pneumonectomy. It follows a persistent course. Although there is no commonly adopted method, closure of the fistula with flaps is the general principle. The use of the omental flap may provide higher success rates in the treatment. Material and Method: PPBPF developed in 12 out of 162 pneumonectomies performed at the department of thoracic surgery between 2011 and 2014. The demographic characteristics, fistula management strategies, morbidity, and mortalities were retrospectively studied by analysis of operative reports and a digital database. Results: The rate of PPBPF was 7.4%. The bronchopleural fistulae could be closed by various treatments in 10 patients; omentopexy constituted the basis of treatment in 8 of them. In the other patients with successful results, resuturing with staplers and vacuum assisted closure were performed during the early period. One of the patients who failed treatment died due to ARDS; therefore, it was not possible to apply all the treatment altern...

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“…Our position is guided by an attempt not to leave a residual cavity, implementing either a total or partial pericystectomy, leaving a small piece of pericyst that does not require treatment. When, in spite of everything, a cavity remains, the decision can be made to perform a capitonnage or omentoplasty, depending on the location and shape of the cavity (evidence type 2b and 4) …”

Section: Resultsmentioning

confidence: 99%

Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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Aim Hydatidosis is an endemic zoonosis that is prevalent in South America, specifically in Chile, Argentina and Uruguay. Liver hydatidosis (LH) is associated with morbidity and mortality due to evolutionary complications, as well as the risk of complications related to surgical procedures. The surgical treatment of LH can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. LH surgical procedures can be classified as conservative and radical. The aim of the present study was to present a general, evidence‐based overview of some surgical aspects of interest in the treatment of LH. Patients and Methods An overview was conducted. Articles published between 1990 and 2015 and related to results of surgery in patients with LH were evaluated. PubMed, Web of Science, SciELO and Trip Database were reviewed, and the results of surgery in LH patients were evaluated. Results A total of 301 articles were retrieved, 46 of which met the selection criteria (3 systematic reviews, 2 controlled trials, 5 cohorts studies, 12 observational studies and 24 case series). The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios. Conclusions The articles found were few and heterogeneous, making meaningful conclusions difficult. Studies with better levels of evidence, methodological quality and population size are needed to make conclusions and recommendations.

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The role of omentoplasty in the surgical management of remnant cavity in hepatic hydatid cyst

Cited by 26 publications

References 8 publications

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

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

Management of Postpneumonectomy Bronchopleural Fistulae

Surgical strategies in the treatment of liver hydatid cyst

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