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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...

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Detalles Bibliográficos
Autores principales: Behdad, Saba, Behdad, Akbar, Behdad, Samin, Hosseinpour, Mehrdad
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
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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.
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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
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