Novosti
Khirurgii

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Year 2022 Vol. 30 No 2

GENERAL & SPECIAL SURGERY

M.ZH. ALIEV, A.I. MUSAEV, K.I. NIIAZBEKOV

PREVENTION OF POSTOPERATIVE COMPLICATIONS IN LIVER ECHINOCOCCECTOMY

City Clinical Hospital No1 1, Bishkek,
Kyrgyz State Medical Academy named after I.K. Akhunbaev 2,
The Kyrgyz Republic

Objective. To assess the results of insertion of a hemostatic collagen sponge to prevent the occurrence of residual cavity and application of infrared radiation for a wound to heal successfully in the liver echinococcectomy.
Methods. Operations for the liver echinococcosis were performed in 226 patients. The groups were allocated as follows: control (n=122) patients and main (n=104) patients. The groups were comparable in terms of clinical parameters (gender, age, form of echinococcosis, size of cysts). The conventional methods of the liver echinococcectomy were used in both groups. In the control group, the organ-preserving surgeries were performed in 78 patients, radical ones 0 in 44 patients; all patients received traditional treatment in the postoperative period.
In the main group, 87 patients underwent organ-preserving surgeries, 17 ones - radical echinococcectomy. In the case of impossibility to eliminate completely the fibrous capsule (18 patients out of 87) a hemostatic collagen sponge has been used. Preventing surgical site infections the infrared radiation of the surgical wound area was applied in 104 patients. A white blood cell ( WBC) count, leukocytic index of intoxication, ultrasound examination and measurement of the zone of wound infiltration (echomorphometry) were used to evaluate the results of treatment.
Results. In the control group, a residual cavity was recorded in 12 (9.8%) cases, wound complications - in 6 (4.9%) ones. In the main group the residual cavity was observed in 1 case and wound complications were detected in 2 (1.9%) patients. When evaluating clinical parameters, it was detected that the normalization of body temperature, pain relief, normalization of leukocyte count (WBC) have occurred faster in the main group, who underwent infrared radiation, and in performance of the echomorphometry of the surgical wound, the size of the hypoechoic zone with an elevation of the time in the postoperative period reduced faster.
Conclusion. The hemostatic collagen sponge was found to be applied for the invagination and capitonnage to prevent a substantial risk of postoperative complications. The use of a hemostatic sponge in organ-preserving operations prevents the formation of a residual cavity. It has been shown that the infrared radiation had the potential to improve wound healing and reduce pain and inflammation.

Keywords: liver echinococcosis, surgical treatment, hemostatic collagen sponge, infrared radiation, echomorphometry
p. 171-178 of the original issue
References
  1. Kern P, Menezes da Silva A, Akhan O, Müllhaupt B, Vizcaychipi KA, Budke C, Vuitton DA. The echinococcoses: diagnosis, clinical management and burden of disease. Adv Parasitol. 2017;96:259-69. doi: 10.1016/bs.apar.2016.09.006
  2. Deplazes P, Rinaldi L, Alvarez Rojas CA, Torgerson PR, Harandi MF, Romig T, Antolova D, Schurer JM, Lahmar S, Cringoli G, Magambo J, Thompson RC, Jenkins EJ. Global distribution of alveolar and cystic echinococcosis. Adv Parasitol. 2017;95:315-93. doi: 10.1016/bs.apar.2016.11.001
  3. Vishnevskii V A, Efanov M G, Ikramov R Z, Nazarenko N A, Chzhao A V. Surgery of liver hydatid cyst. Russian Journal of Evidence-Based Gastroenterology. 2013;(2):18-25. https://www.mediasphera.ru/issues/dokazatelnayagastroentero logiya/2013/2/032305-2260201323 (In Russ.).
  4. Prousalidis J, Kosmidis C, Anthimidis G, Kapoutzis K, Karamanlis E, Fachantidis E. Postoperative recurrence of cystic hydatidosis. Can J Surg. 2012 Feb;55(1):15-20. doi: 10.1503/cjs.013010
  5. Jaborov AI, Kakharov AN, Kurbanov JM. Recurrent hepatic echinococcosis. Vestn Avitsenny. 2015;(4):30-34. doi: 10.25005/2074-0581-2015-17-4-30-34 (In Russ.)
  6. Sozuer E, Akyuz M, Akbulut S. Open surgery for hepatic hydatid disease. Int Surg. 2014 Nov-Dec;99(6):764-69. doi: 10.9738/INTSURG-D-14-00069.1
  7. Bedioui H, Bouslama K, Maghrebi H, Farah J, Ayari H, Hsairi H, Kacem M, Jouini M, Bensafta Z. Predictive factors of morbidity after surgical treatment of hepatic hydatid cyst. Pan Afr Med J. 2012;13:29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527061/
  8. Baraket O, Moussa M, Ayed K, Kort B, Bouchoucha S. Predictive factors of morbidity after surgical treatment of hydatid cyst of the liver. Arab J Gastroenterol. 2014 Sep-Dec;15(3-4):119-22. doi: 10.1016/j.ajg.2014.05.004
  9. Al’perovich BI. Khirurgiia pecheni. Moscow, RF: GEOTAR-Media; 2013. 352 p. (In Russ.)
  10. Birnbaum DJ, Hardwigsen J, Barbier L, Bouchiba N, Le Treut YP. Is hepatic resection the best treatment for hydatid cyst? J Gastrointest Surg. 2012 Nov;16(11):2086-93. doi: 10.1007/s11605-012-1993-4
  11. Tagliacozzo S, Miccini M, Amore Bonapasta S, Gregori M, Tocchi A. Surgical treatment of hydatid disease of the liver: 25 years of experience. Am J Surg. 2011 Jun;201(6):797-804. doi: 10.1016/j.amjsurg.2010.02.011
  12. Pang Q, Jin H, Man Z, Wang Y, Yang S, Li Z, Lu Y, Liu H, Zhou L. Radical versus conservative surgical treatment of liver hydatid cysts: a meta-analysis. Front Med. 2018 Jun;12(3):350-59. doi: 10.1007/s11684-017-0559-y
  13. Georgiou GK, Lianos GD, Lazaros A, Harissis HV, Mangano A, Dionigi G, Katsios C. Surgical management of hydatid liver disease. Int J Surg. 2015 Aug;20:118-22. doi: 10.1016/j.ijsu.2015.06.058
  14. Fischer L, Seiler CM, Broelsch CE, de Hemptinne B, Klempnauer J, Mischinger HJ, Gassel HJ, Rokkjaer M, Schauer R, Larsen PN, Tetens V, Büchler MW. Hemostatic efficacy of TachoSil in liver resection compared with argon beam coagulator treatment: an open, randomized, prospective, multicenter, parallel-group trial. Surgery. 2011 Jan;149(1):48-55. doi: 10.1016/j.surg.2010.02.008
  15. Amonov ShSh, Prudkov MI, Orlov OG, Gul’muradov TG, Amonov ShN, Saidov MS. Opyt ispol’zovanija ranevogo pokrytija «Tahokomb» pri jehinokokkoze pecheni. Doklady Akademii nauk Respubliki Tadzhikstan. 2013;56(5):415-19. https://cyberleninka.ru/article/n/opyt-ispolzovaniya-ranevogo-pokrytiya-tahokomb-pri-ehinokokkoze-pecheni (In Russ.)
  16. Musaev US, Tolorov ZhZh, Omorov TB. Prevention of complications of destructive forms of acute cholecystitis. Vestn OshGU . 2018;(3):177-82. https://www.elibrary.ru/item.asp?id=36486895 (In Russ.)
Address for correspondence:
720054, Kyrgyz Republic,
Bishkek, Yu.Fuchik Str., 15,
City Clinical Hospital No1,
tel. +996 550 650008,
å-mail: musa-aliev-69@mail.ru,
Aliev Musabay Zh.
Information about the authors:
Musaev Akylbek I., MD, Professor, Chief Physician of the City Clinical Hospital No1, Bishkek, Kyrgyz Republic.
http://orcid.org / 0000-0002-3915-0300
Aliev Musabay Zh., PhD, Physician of the Surgical Unit No1, City Clinical Hospital No1, Bishkek, Kyrgyz Republic.
http://orcid.org / 0000-0003-0771-245X
Niiazbekov Kubat I., PhD, Associate Professor of the Dpartment of General Practice Surgery with the Course of Combustiology, Kyrgyz State Medical Academy Named after I.K. Akhunbayev, Bishkek, Kyrgyz Republic.
http://orcid.org/ 0000-0002-4103-3138
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