A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021

Background: Hydatid cyst, caused by the larvae of Echinococcus granulosus, is one of the most severe cestode infections occurring in Iran. The liver is the most commonly involved organ. The present study was carried out to review the demographic of 20 years surgically treated hydatic cysts. Meth...

Full description

Bibliographic Details
Main Authors: Setareh Mahmoodi, Manoochehr Ebrahimian, Seyed Hadi Mirhashemi, Mohsen Soori, Fariborz Rashnoo, Bahador Oshidari, Rouzbeh Shadidi Asil, Amir Zamani, Esmaeil Hajinasrollah
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-03-01
Series:Iranian Journal of Parasitology
Subjects:
Online Access:https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3554
_version_ 1797840380890185728
author Setareh Mahmoodi
Manoochehr Ebrahimian
Seyed Hadi Mirhashemi
Mohsen Soori
Fariborz Rashnoo
Bahador Oshidari
Rouzbeh Shadidi Asil
Amir Zamani
Esmaeil Hajinasrollah
author_facet Setareh Mahmoodi
Manoochehr Ebrahimian
Seyed Hadi Mirhashemi
Mohsen Soori
Fariborz Rashnoo
Bahador Oshidari
Rouzbeh Shadidi Asil
Amir Zamani
Esmaeil Hajinasrollah
author_sort Setareh Mahmoodi
collection DOAJ
description Background: Hydatid cyst, caused by the larvae of Echinococcus granulosus, is one of the most severe cestode infections occurring in Iran. The liver is the most commonly involved organ. The present study was carried out to review the demographic of 20 years surgically treated hydatic cysts. Methods: Ninety-eight patients were enrolled in the study. Demographic features, time of surgery, cyst size, and albendazole usage have been reviewed from the medical records of patients in Loghman Hakim Hospital, Tehran, Iran, from 2001 to 2021. Statistical analysis was performed to find any correlation between the uses of concurrent albendazole with surgical procedure. Results: Of 98 patients with hydatid cyst, 57 (58.2%) were female. The mean age of patients was 39.4 ± 18.7 yrs, and the mean surgery time was 217.5 ±   81.4 minutes. Regarding the infection site, the liver (60.2%) and lungs (22.4%) were the most affected organs, respectively. 56.1% of patients had one cyst, and 42.9 % had two or more cysts. 20.4% of them had taken albendazole before surgery, but 86.7 % took it after the operation. No recurrent cysts were seen among 91.8% of them, but 8.2% mentioned suffering from a recurrent cyst. 85.7% of those recurrent cases did not receive albendazole before surgery, and 75% of recurrent cases after surgery did not take albendazole (P<0.05). Conclusion:  Administration of albendazole before and after the operation was significantly related to reduced recurrence, bleeding, morbidity, and even the time of surgery.
first_indexed 2024-04-09T16:14:07Z
format Article
id doaj.art-f523a2d2356744d89fe2dd3acdcff756
institution Directory Open Access Journal
issn 1735-7020
2008-238X
language English
last_indexed 2024-04-09T16:14:07Z
publishDate 2023-03-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Parasitology
spelling doaj.art-f523a2d2356744d89fe2dd3acdcff7562023-04-24T06:55:53ZengTehran University of Medical SciencesIranian Journal of Parasitology1735-70202008-238X2023-03-0118110.18502/ijpa.v18i1.12386A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021Setareh Mahmoodi0Manoochehr Ebrahimian1Seyed Hadi Mirhashemi2Mohsen Soori3Fariborz Rashnoo4Bahador Oshidari5Rouzbeh Shadidi Asil6Amir Zamani7Esmaeil Hajinasrollah8Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Hydatid cyst, caused by the larvae of Echinococcus granulosus, is one of the most severe cestode infections occurring in Iran. The liver is the most commonly involved organ. The present study was carried out to review the demographic of 20 years surgically treated hydatic cysts. Methods: Ninety-eight patients were enrolled in the study. Demographic features, time of surgery, cyst size, and albendazole usage have been reviewed from the medical records of patients in Loghman Hakim Hospital, Tehran, Iran, from 2001 to 2021. Statistical analysis was performed to find any correlation between the uses of concurrent albendazole with surgical procedure. Results: Of 98 patients with hydatid cyst, 57 (58.2%) were female. The mean age of patients was 39.4 ± 18.7 yrs, and the mean surgery time was 217.5 ±   81.4 minutes. Regarding the infection site, the liver (60.2%) and lungs (22.4%) were the most affected organs, respectively. 56.1% of patients had one cyst, and 42.9 % had two or more cysts. 20.4% of them had taken albendazole before surgery, but 86.7 % took it after the operation. No recurrent cysts were seen among 91.8% of them, but 8.2% mentioned suffering from a recurrent cyst. 85.7% of those recurrent cases did not receive albendazole before surgery, and 75% of recurrent cases after surgery did not take albendazole (P<0.05). Conclusion:  Administration of albendazole before and after the operation was significantly related to reduced recurrence, bleeding, morbidity, and even the time of surgery. https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3554EchinococcosisAlbendazoleGeneral SurgeryAnthelminticsAntiparasitic Agents
spellingShingle Setareh Mahmoodi
Manoochehr Ebrahimian
Seyed Hadi Mirhashemi
Mohsen Soori
Fariborz Rashnoo
Bahador Oshidari
Rouzbeh Shadidi Asil
Amir Zamani
Esmaeil Hajinasrollah
A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
Iranian Journal of Parasitology
Echinococcosis
Albendazole
General Surgery
Anthelmintics
Antiparasitic Agents
title A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
title_full A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
title_fullStr A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
title_full_unstemmed A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
title_short A 20 Years Retrospective Descriptive Study of Human Cystic Echinococcosis and the Role of Albendazole Concurrent with Surgical Treatment: 2001-2021
title_sort 20 years retrospective descriptive study of human cystic echinococcosis and the role of albendazole concurrent with surgical treatment 2001 2021
topic Echinococcosis
Albendazole
General Surgery
Anthelmintics
Antiparasitic Agents
url https://ijpa.tums.ac.ir/index.php/ijpa/article/view/3554
work_keys_str_mv AT setarehmahmoodi a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT manoochehrebrahimian a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT seyedhadimirhashemi a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT mohsensoori a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT fariborzrashnoo a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT bahadoroshidari a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT rouzbehshadidiasil a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT amirzamani a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT esmaeilhajinasrollah a20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT setarehmahmoodi 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT manoochehrebrahimian 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT seyedhadimirhashemi 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT mohsensoori 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT fariborzrashnoo 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT bahadoroshidari 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT rouzbehshadidiasil 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT amirzamani 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021
AT esmaeilhajinasrollah 20yearsretrospectivedescriptivestudyofhumancysticechinococcosisandtheroleofalbendazoleconcurrentwithsurgicaltreatment20012021