Problems of diagnostics, treatment and prevention of multiple hydatid echinococcosis of the liver

Abstract

Optimization of the diagnostics, increase of echinococcosis treatment quality and methods of prevention. Experience in echinococcosis surgical treatment based on material obtained from 231 patients treated in hospitals of the Khorezm region of the Republic of Uzbekistan is presented. Single cysts were diagnosed in 165 (71.4 %) cases, multiple — for 66 (28.6 %) ones. Immunoassay complex of instrumental examination for serological tests was used in enzyme detection. Patients operated for multiple and combined echinococcosis constituted 84 persons with total cysts number 251. Various radical resections of liver were performed: closed echinococcectomy performed constituted 114, including 21 partial pericystectomy; semiclosed echinococcectomy — 9, including 3 partial pericystectomy; ideal echinococcectomy was performed in four cases. Chemical treatment of residual cavity was used, as well as physical treatment methods (ultrasonic cavitation + decasan). In the postoperative period, prophylactic chemotherapy was carried out (Zentel, 12 mg per kilogram of weight). Thorough comprehensive diagnostics is required for combined and multiple echinococcosis detection, including both immunodiagnostics (IgG) and instrumental examination (ultrasound scan, MSCT, or MRI, X-rays).