COMPARATIVE STUDY OF EXTERNAL TUBE DRAINAGE AND OMENTOPLASTY IN THE MANAGEMENT OF RESIDUAL CAVITY OF HEPATIC HYDATID CYST

Volume : VII, Issue : X, October - 2018

Dr. Mukesh Patel, Dr. Anil Darokar, Dr. Kishor Bele

INTRODUCTION– Hydatid disease of the liver has been known since ancient times. Hydatid disease occurs more frequently in the

liver (50–70% of the cases). Surgery remains the gold standard treatment for hydatid liver disease. The aim of surgical intervention

is to inactivate the parasite, to evacuate the cyst along with resection of the germinal layer, to prevent peritoneal spillage of

scolices and to obliterate the residual cavity. The obliteration of the cyst cavity after evacuation is a controversial procedure in

hepatic hydatid disease.

AIMS AND OBJECTIVE:To compare the surgical outcome and various complications of omentoplasty and external tube drainage

in the management of residual cavity of liver hydatid cyst.

MATERIAL AND METHOD– This study was carried out on 30 patients with hydatid liver disease. The diagnosis was based on full

clinical history and examination, radiological imaging (abdominal USG/,C.T ). Patients were randomly classified into 2 groups,

each of them has 15patients Group A was subjected omentoplasty in which omentum pedical kept in cavity, while group B

external tube drainage in which drainage tube kept in cavity.

RESULT– hydatid liver disease occur in all age group, most commonly seen in low socioeconomic group. Higher chance of post

operative complication, prolong stay,dealy in joining of day to day activity in ETD as compared to OP group.

CONCLUSION– omentoplasty techniques had fewer complications than external tube drainage, with a shorter hospital stay. It

can also produce satisfactory results in treating residual cavity of the hepatic hydatid cyst.