2013/01/01 by Ajaz Ahmed Wani, Wani, Ajaz A., Arshad Rashid +9
Medicine · #610 Medical sciences #Amoebic Infections and Treatments #Congenital Anomalies and Fetal Surgery #Medicine #Parasitic infections in humans and animals #external tube drainage #hydatid cyst #laparoscopy #liver #omentoplasty
paper · doi:10.3205/000179
openalex publication_date 2013/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
BACKGROUND: Surgical procedures advocated for management of residual hepatic hydatid cyst cavity have been a subject of controversy. The aim of this study was to compare omentoplasty (OP) and external tube drainage (ETD). MATERIAL AND METHODS: This was a prospective randomized controlled study conducted on radiologically documented cases of hepatic hydatidosis (n=50) in a tertiary care hospital of Kashmir. Patients were divided into two groups; in one group ETD was performed and in another OP was done. RESULTS: Twenty-eight patients were offered ETD and 22 OP. There was no statistically significant difference in mean operative time. The overall complication rate was higher in ETD (42.86%) as compared to OP (22.73%). In ETD group two patients had bile leak and infection of residual cavity each; whereas no such complication was seen in OP. The mean pain scores were elevated in ETD (p<0.0016).The mean hospital stay was more in ETD as compared to OP (p<0.0031). Also time for resumption of activities of daily life was more in ETD (p<0.0026). The recurrence of disease was seen in three patients in ETD as compared to none in OP. CONCLUSION: Omentoplasty offers a number of advantages over external tube drainage and should remain the preferred option whenever possible.