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Secondary Cystic Echinococcosis in South of Iran: A Retrospective Study | ||
Iranian Journal of Colorectal Research | ||
مقاله 1، دوره 12، شماره 2، شهریور 2024، صفحه 33-39 اصل مقاله (540.46 K) | ||
نوع مقاله: Research/Original Article | ||
شناسه دیجیتال (DOI): 10.30476/acrr.2024.101866.1209 | ||
نویسندگان | ||
Alimohamamad Bananzadeh1؛ Gholamreza Abdollahifard2؛ Mohammad Javad Yavari Barhaghtalab* 3؛ Aida Iraji4؛ Elham Ahmadi2؛ Qasem Asgari5؛ Cambyz Irajie6 | ||
1Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran | ||
2Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
3Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran, | ||
4Stem Cells Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
5Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
6Department of Medical Biotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran | ||
چکیده | ||
Background: Cystic echinococcosis (CE) is a parasitic and zoonotic infection, recognized globally as a neglected disease, with significant morbidity and mortality rates, especially in low-advantaged countries. We aimed to evaluate the recurrence rate after hydatid disease surgery in Fars Province, Iran. Methods: A retrospective design was used to examine the data collected from Nemazee and Shahid Faghihi Hospitals, Shiraz, southern Iran, over eight years, from 2011 to 2019. The research was conducted in 2023. The study extracted the following data from hospital records: demographic characteristics, paraclinical findings (such as sonography and CT scan), organ involvement, cyst number and size, surgical procedure, cyst complications, intraoperative or postoperative complications, and recurrence rate. Results: The study included 303 patients, of whom recurrence occurred in 36 (11.9%). Intra or postoperative complications were associated with recurrence (P=0.001). In the recurrent cases, the most common intraoperative complication was anaphylactic shock (P=0.001), and the most common postoperative complications were unresolved pneumothorax and empyema (P=0.001). There was a significant association between recurrence and complicated cysts (P=0.001). There was no significant difference between the organ involved and the complicated cyst in the recurrence (P=0.50). There was no association between increasing the cyst’s size and the chance of the recurrence rate. There was a significant relationship between recurrence and the number of cysts in the affected organ (P=0.001). There was a significant association between using no scolicidal agents and recurrence (P=0.001), and no antiparasitic drugs were used in only one (2.7%) patient (P=0.3240). There was no significant association between recurrence and duration of admission (P=0.193). Conclusion: Intra or postoperative complications (anaphylactic shock, unresolved pneumothorax, and empyema), complicated cysts, the number of cysts in the affected organ, and injecting of no scolicidal agents were significantly associated with recurrence. Recurrence may have many reasons, such as insufficient drainage (incomplete peri-cystectomy and minute spillage of cyst contents), missing hidden cysts (numbered cysts), rupture or spillage of the cysts, and inadequate medical treatment. | ||
کلیدواژهها | ||
Echinococcosis؛ Recurrence؛ Intraoperative complications؛ Postoperative complications؛ Scolicidal agents | ||
مراجع | ||
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