Cargando…
Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst
Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We r...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328925/ https://www.ncbi.nlm.nih.gov/pubmed/22550387 http://dx.doi.org/10.1155/2012/628176 |
_version_ | 1782229788863234048 |
---|---|
author | Behdad, Saba Behdad, Akbar Behdad, Samin Hosseinpour, Mehrdad |
author_facet | Behdad, Saba Behdad, Akbar Behdad, Samin Hosseinpour, Mehrdad |
author_sort | Behdad, Saba |
collection | PubMed |
description | Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant). Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures), and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was 423 ± 110 mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant) provides easy, safe closure of cyst with preservation of the liver anatomy. |
format | Online Article Text |
id | pubmed-3328925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33289252012-05-01 Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst Behdad, Saba Behdad, Akbar Behdad, Samin Hosseinpour, Mehrdad HPB Surg Methodology Report Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant). Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures), and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was 423 ± 110 mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant) provides easy, safe closure of cyst with preservation of the liver anatomy. Hindawi Publishing Corporation 2012 2012-04-08 /pmc/articles/PMC3328925/ /pubmed/22550387 http://dx.doi.org/10.1155/2012/628176 Text en Copyright © 2012 Saba Behdad et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Methodology Report Behdad, Saba Behdad, Akbar Behdad, Samin Hosseinpour, Mehrdad Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title | Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title_full | Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title_fullStr | Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title_full_unstemmed | Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title_short | Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst |
title_sort | vest-over-pant method for closure of residual cavity of liver hydatid cyst |
topic | Methodology Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328925/ https://www.ncbi.nlm.nih.gov/pubmed/22550387 http://dx.doi.org/10.1155/2012/628176 |
work_keys_str_mv | AT behdadsaba vestoverpantmethodforclosureofresidualcavityofliverhydatidcyst AT behdadakbar vestoverpantmethodforclosureofresidualcavityofliverhydatidcyst AT behdadsamin vestoverpantmethodforclosureofresidualcavityofliverhydatidcyst AT hosseinpourmehrdad vestoverpantmethodforclosureofresidualcavityofliverhydatidcyst |