CLINICO-EPIDEMIOLOGICAL PROFILE AND OUTCOME OF CASES OF HYDATID CYST- A PROSPECTIVE AND RETROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 7
Abstract
BACKGROUND Hydatid cyst is the most common cause of cystic Liver disease world-wide. Hydatid disease is a zoonoses caused by small taeniidtype tapeworm Echinococcus. Man is an accidental intermediate and dead end host. Man does not harbour the adult worm.[1] The objectives of this study were- 1. to compare the treatment of retrospective and prospective cases of hydatid cyst disease & 2. to study the hydatid cyst disease.[2] MATERIALS AND METHODS The study comprises of all treated cases of hydatid cyst in Dept. of Surgery, M.G.M. Medical College and M.Y Hospital, Indore retrospectively from 2007 to 2017 (100 cases) and prospectively from 1 year after the date of approval (20 cases) by local ethical committee. RESULTS In this study, more than half of the subjects were men with higher prevalence of disease in patients from rural areas. The mean incidence of Hydatid disease is 1.256 per 1000 admissions in general surgical wards. The disease is more prevalent among illiterate people because of more contact with cattle, poor hygiene and sanitation. Liver is the most common site of hydatid cyst disease and mostly cysts are located in the right lobe.2 CONCLUSION 1. High prevalence seen from the districts of Nimar region as compared to Malwa region because of more contact with cattle, low level education, poor sanitation and poor hygiene. 2. CECT of abdomen can be used as a tool for guiding the approach towards surgery, laparoscopic surgery being safe and yielding better results. [3][4] 3. Prevention plays an important in the overall management of this disease. Proper education, creating awareness, deworming of dogs and implementing strict rules regarding the disposal of the remains of slaughtered animals can help in eradicating this disease.
Authors and Affiliations
Arvind Kumar Shukla, Varsha Dhakad, Mumtaz Ansari
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