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A Journal on Surgery

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Chirurgia 2003 February;16(1):5-8

language: English

Use of an aspiration apparatus in the surgical treatment of echinococcal cysts

Chiotis A., Tsaroucha A. K., Ioannidis A., Tsagas N.


A safe method of aspiration is presented, using a specially designed aspiration apparatus, which reduces the risk of peritoneal contamination. The apparatus and the method were clinically tested for the 1st time on a 16-year-old male patient, who suffered from a recurrent echinococcal cyst (11 cm diameter) in the right lobe of the liver. The patient underwent surgical treatment. For aspiration of the cyst cavity and irrigation with scolicidal solution NaCl (15%), a specially designed apparatus was used. During the cyst puncture a small quantity of echinococcal fluid was spilled out, but was successfully collected and contained in the apparatus. This quantity was then sucked from the apparatus, without reaching the peritoneal cavity. Uncompleted cystectomy and drainage of the cavity followed removal of the apparatus. The patient recovered well and was discharged on the 8th postoperative day. After 24 months of follow-up he is doing well with no evidence of recurrence in all tests. The indirect hemagglutination test is negative.

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