Muscle hydatid diseases: percutaneous treatment with Örmeci technique

Authors : Necati ÖRMECİ, Özgün Ömer ASİLLER, Cemil YAĞCI, Tuğrul ÖRMECİ, Zeynep ELLİK, Çağdaş KALKAN, Atilla İLHAN

Pages : 732-739

Doi:10.32322/jhsm.1011096

View : 31 | Download : 12

Publication Date : 2022-05-30

Article Type : Research Paper

Abstract :Aim: To present results of percutaneous treatment with Örmeci technique for muscle hydatid diseases. Material and Method: Twelve patients insert ignore into journalissuearticles values(9 male, 3 female); with 16 hydatid cysts insert ignore into journalissuearticles values(10 CE Type 1, 6 CE Type3B); were treated by percutaneous treatment with Örmeci technique. The percutaneous puncture was performed under sonographic guidance using a 22-gauge Chiba needle as a one-step procedure in CE type 1 and 3A. However, two to six Chiba needles according to size of the cysts were used in different locations at the same time in the cyst of CE type 2, and 3B);. For every 1 cm of the long diameter of the cyst lesion, 3cc of fluid from the cysts was aspirated, which was almost the same amount of cc in volume for the CE type 1 and CE type 3A hydatid cysts. A 2cc of pure alcohol insert ignore into journalissuearticles values(96 %); and 1cc of polidocanol 1% insert ignore into journalissuearticles values(ethoxysclerol 1%, Kreussler Pharma, Wiesbaden, Germany); were injected into the cysts right after the aspiration of CE type 1 and type 3A, without the aspiration of CE type 2 and 3B, for each centimeter of the long diameter of the cysts. The total amount of pure alcohol and polidocanol were injected equally among the CE type 2 and type 3B cyst’s needles. It was waited for five minutes for all scolexes to be killed and the needle/or needles were taken back. The patients with hydatid disease were followed up mean 34.75 ±14.39 insert ignore into journalissuearticles values(maximum 65-minimum 15); months. Findings: Fifteen out of 16 hydatid cysts insert ignore into journalissuearticles values(93.75%); cured. We had two complications of treatment. One patient had an abscess in the cyst after the percutaneous treatment. After the percutaneous drainage, patient was cured well, and he had no symptoms during the follow up. Another patient had torpidity in his leg after the treatment. After three months, he had no symptoms. In Conclusion, Percutaneous treatment with Örmeci technique is outpatient based, successful, safe, repeatable, cheap and It can be used as an alternative treatment in selected patients.
Keywords : Hydatid cyst, Percutaneous treatment, Örmeci Technique