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Results of the Management of Pulmonary Hydatid Cysts

نتائج تدبير الكيسات المائية الرئوية

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 Publication date 2003
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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The aim of this study is to determine the prevalence of pulmonary hydatid cysts, determine the best approach of surgical treatment, and determine the outcomes of hydatid disease in, isolated or coexisting pulmonary or extrapulmonary hydatidosis. The study was conducted at the Department of Thoracic Surgery at Damascus University, between January 1993 and December 2002, on 206 patients

References used
Aribas OK , et al : Comparison between pulmonary and hepatopulmonary hydatidosis, Eur J Cardiothorac Surgery 21(3):489,2002
Athanassiadi K et al : Surgical treatment of echinococcosis by a transthoracic approach a review of 85 cases , Eur J Cardiothorac Surg 14:134 1998
Ceran S, et al : Cost-effective and time -saving surgical treatment of pulmonary hydatid cysts with multiple location , Surg Today 32(7):573,2002
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OBJECTIVES: Hydatidosis is an infectious widespread disease caused by Echinococcus granulsus. The involvement may be single, multiple or combined in different organs especially in the liver and lungs. The surgical excision is still the treatment o f choice through thoracotomy, laparotomy, thoraco-abdominal and sternotomy. The aim of this study was to introduce a new surgical approach for pulmonary hydatid cysts using video assisted thoracoscopic surgical methods. METHODS: 88 patients (age range 6-74 years) underwent surgery for single pulmonary hydatid cysts from 1996-1999. 40 were females and 48 were males. 33 had an intact cyst, 33 had a ruptured cyst to the bronchus, 7 had rupture to the pleural cavity and 15 had an infected cyst. All patients underwent a minithoracotomy with video-assisted thoracoscopy.
This study was performed in children’s hospital of Damascus University which included all cases of hydatid cysts admitted to the hospital between 1/1/1994 and 1/9/1996. The number of cases totaled 47 which accounted for 1.4 to 2.4 per 1000 admission in different years.
Background& Objective: Evaluation of the clinical and laboratory efficiency of the utilization of noninvasive ventilation (NIV) in the treatment of respiratory complications in tetraplegic patients. Patients: Eight patients with tetraplegia du spin al cord injuries between C3 and C7 and a level between A and C on ASIA score, who were treated by non-invasive ventilation during the period between 01/10/2009 and 30/04/2010.
The Shared Task on Evaluating Accuracy focused on techniques (both manual and automatic) for evaluating the factual accuracy of texts produced by neural NLG systems, in a sports-reporting domain. Four teams submitted evaluation techniques for this ta sk, using very different approaches and techniques. The best-performing submissions did encouragingly well at this difficult task. However, all automatic submissions struggled to detect factual errors which are semantically or pragmatically complex (for example, based on incorrect computation or inference).
The research has been done in Alassad University Hospital in Lattakia, from January 2009 to January 2011 and included 80 pseudophakic eyes of 80 patients ] 36 (45.0%) belonged to male sex and 44 (55.0%) females[ older than 15 years having PCO with decreased best corrected Visual Acuity (VA) of two or more Snellen’s chart line. Before laser treatment, the VA was assessed and all patients were examined on slit lamp for IOP and to rule out the causes for reduced vision other than PCO. Then 2-3 mm size capsulotomy was done with Q-switched Nd: YAG Laser, with Abraham’s posterior capsulotomy lens, after topical anesthesia, by using minimum amount of energy and fewest numbers of pulses. Patients were followed for assessment of best corrected VA and for possible complications just after laser and at the end of 1st week, 2nd week and the 4th week. The post-laser treatment was advised in accordance with complications to each patient. The types of PCO were fibrosis in 54 (67.5%) eyes, Elschnig pearls in 16 (20 %) eyes and wrinkling in 10 (12.5%) eyes. Pre-laser visual acuity was CF-6/60 in 42 (52.5%) eyes, 6/36-6/24 in 23 (28.75%) eyes and 6/18-6/12 in 15 (18.75%) eyes. Post-laser VA was improved to 6/9-6/6 in 60 (75%) eyes. Out of 80 patients, 10 (12.5%) eyes developed the complications due to YAG laser which included IOL pitting in 4 (5%) eyes, raised IOP in 1 (1.25%), uveitis in 2 (2.5%), iris bleeding (hyphema) in 1 (1.25%), vitreous in anterior chamber in 1 (1.25%), and cystoids macular edema (CME) in 01(1.25%) eye. None of the eye developed sight threatening complications like retinal detachment or macular hole. The 20 (25%) eyes did not achieve the significant improvement because of pre-existing pathology in the posterior segment that was not diagnosed at the time of screening due to thick PCO. This means that Nd: YAG laser capsulotomy is effective and convenient method for doing capsulotomy in all types of PCO. It is free from the risk of endophthalmitis found in surgical capsulotomy.

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