Management of pulmonary hydatid disease
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MANAGEMENT OF PULMONARY
HYDATID DISEASEProf. Abdulsa lam Y Taha
School of Medic ineUnivers i ty of Su la imani
I raq
https://sulaimaniu.academia.edu/AbdulsalamTaha
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PHC
• LIFE CYCLE.• CYST STRUCTURE.• PLAIN CXR AND CT SCAN.• BRONCHOSCOPY.• PRINCIPLES OF SURGERY.• SELECTIVE CASES.
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LIFE CYCLE
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STRUCTURE OF CYST
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LAMINATED MEMBRANE
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PLAIN CXR
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PLAIN CXR: THE INTACT CYST
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CXR: BILATERAL CYSTS
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CT SCAN: INTACT CYST
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CT SCAN: MULTIPLE INTACT CYSTS
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PERIVESICULAR PNEUMOCYST
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THE WATER-LILY SIGN
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CAVITARORY LESION
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CT SCAN: INTRA-BRONCHIAL RUPTURE
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CT SCAN: THE CENTRAL CYST
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ATYPICAL RADIOLOGICAL DENSITIES
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ATYPICAL RADIOLOGRAPHIC DENSITY
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ELEVATED DIAPHRAGM
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THE INTRA-PLEURAL RUPTURE
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PULMONARY ANGIOGRAPHY
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RADIOGRAPHIC SIMULATORS
LOCALIZED BENIGN MESOTHELIOMA
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LOCALIZED MALIGNANT MESOTHELIOMA
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NEUROFIBROMA
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NEUROBLASTOMA
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FIBEROPTIC BRONCHOSCOPY
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PRINCIPLES OF SURGERY
• Removal of cyst contents.• Avoidance of soiling of operative field.• Preservation of as much lung tissue as
possible.• Closure of bronchiolar fistulae.• Management of residual cystic cavity.• Achievement of early and complete lung
expansion.
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ANESTHETIC TECHNIQUES
• SINGLE OR DOUBLE LUMEN ET TUBES?• FREQUENT SUCTION VIA ET TUBE.• PROTECTION AGAINST ANAPHYLAXIS.• SYNCHRONIZED INFLATION AND
DEFLATION OF THE LUNG WITH SURGICAL PROCEDURE.
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REMOVAL OF CYST
• ENUCLEATION.• INJECTION, ASPIRATION AND
EVACUATION.• ASPIRATION AND EVACUATION.• EXCISION OF CYST.
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ENUCLEATION OF CYST
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INJECTION, ASPIRATION & EVACUATION
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ASPIRATION AND EVACUATION
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SCOLICIDAL AGENTS
• POVIDONE IODINE.• 10% HYPERTONIC SALINE.• HYPERTONIC GLUCOSE.• 10% FORMALDEHYDE.• NONE IS AN IDEAL SCOLISIDAL AGENT.• THE BEST IS ( CONTROLLED EVACUATION OF
CYST CONTENTS).
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WHEN TO RESECT?
• HUGE SIMPLE HC CAUSING LOBE DESTRUCTION.
• SEVERELY SUPPURATED RUPTURED CYST.• MULTIPLE DAUGHTER CYSTS IN MOTHER CYST.• LIFE-THREATENING HEMOPTYSIS.• BROCHO-BILIARY FISTULA.• HYDATID BRONCHIECTASIS.
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HUGE INTACT PHC IN LUL IN AN 8 YR OLD BOY MANAGED BY LOBECTOMY
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TRANS-THORACIC TRANS-DIAPHRAGMATIC
REMOVAL OF LIVERHYDATID CYSTS
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CXR
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CT SCAN
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R THORACOTOMY
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R THORACOTOMY
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THE OPERATION
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POSTOP CXR
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MORBIDITY
• PROLONGED AIR LEAK.• EMPYAEMA.• PNEUMONIA DUE TO ASPIRATION OF CYTIC
CONTENTS OR WASHING SOLUTIONS.
MORTALITY* UNRECOGNIZED CNS OR PULMONARY
ARTERY CYSTS.
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TAKE HOME MESSAGES
• PHD IS ENDEMIC IN OUR COUNTRY.
• CXR IS THE CHIEF DIAGNOSTIC MODALITY.
• CONSIDER DIFFERENTIAL DIAGNOSES.
• PREVENTION IS ACHIEVABLE.
• SURGERY IS STILL THE MAIN TREATMENT.
• ALWAYS TRY TO PRESERVE LUNG TISSUE.
• LUNG RESECTION IS DONE SPORADICALLY FOR CERTAIN INDICATIONS.
• SEARCH FOR CNS AND PA CYSTS IN PATIENTS WITH DISSEMINATED HYDATIDOSIS.
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THANK YOU FOR YOUR ATTENTION!