METHOD OF SURGICAL LIVER ECHINOCOCCOSIS TREATMENT Russian patent published in 2009 - IPC A61M31/00 A61K33/14 A61P33/10 

FIELD: medicine; surgery.

SUBSTANCE: patient is subjected to transdermal cyst draining, aspiration of its content, scolicidal processing of cavity and removal of cyst chitin coat, transdermal cyst draining being performed through 3-4 cm of healthy liver parenchima. After aspiration of cyst content into its cavity in volume equal to 1/4-1/3 of volume of removed echinococcal liquid, scolicidal preparation is introduced. Scolicidal preparation is replaced 1 time in 24 hours during first two days. When scolicidal processing is finished chitin coat of cyst is removed. For this purpose 2-3 times at day time for 1-2 hours with 2-4 hour breaks 1% water solution of sodium hypochloride in volume equal to 1/4-1/3 of volume of removed echinococcal liquid is introduced into cyst cavity. Before each replacement of solution cyst cavity is washed with 1% water solution of sodium hypochloride. At night time and during breaks between washings external passive draining is carried out. Procedure of chitin coat removal is carried out during 7-10 days and is finished after complete stop of its fragments discharge. After that during 5-7 days 1-2 times a day sanation of remaining cavity is carried out with 10-15 ml of antiseptic solution.

EFFECT: elimination of radiation loading on patient and operator, reduction of traumaticity and treatment terms, reduction of number of complications and liver echinococcosis recurrences.

1 ex