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Removal of large hydatid cysts with balloon-assisted modification of Dowling's method: technical report.

Ulutas M, Cinar K, Secer M - Acta Neurochir (Wien) (2015)

Bottom Line: Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method.After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Konukoglu Hospital, Sanko University, Gaziantep, Turkey, nrsrgn@yahoo.com.

ABSTRACT

Background: Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method.

Methods: After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.

Conclusions: We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.

No MeSH data available.


Related in: MedlinePlus

Wide craniotomy and dura opening
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Fig4: Wide craniotomy and dura opening

Mentions: The new surgical method we developed is applied during classic wide craniotomy for hydatid cyst surgery or standard surgical interventions like wide dura opening (Fig. 4). It was determined that the region where the cyst comes out of the cortex, or where the cortex is thinnest, is the most appropriate place to deliver the cyst. Firstly, dissection between the cyst and brain tissue was done to allow the tip and uninflated section of the balloon of the Foley probe to enter without penetrating the parenchyma. Starting from the surface, the Foley probe was advanced step by step around the cyst towards the base, and in regions where dissection was required, the balloon of the Foley probe was inflated and dissection was completed to free any adhesion bands.Fig. 4


Removal of large hydatid cysts with balloon-assisted modification of Dowling's method: technical report.

Ulutas M, Cinar K, Secer M - Acta Neurochir (Wien) (2015)

Wide craniotomy and dura opening
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4477954&req=5

Fig4: Wide craniotomy and dura opening
Mentions: The new surgical method we developed is applied during classic wide craniotomy for hydatid cyst surgery or standard surgical interventions like wide dura opening (Fig. 4). It was determined that the region where the cyst comes out of the cortex, or where the cortex is thinnest, is the most appropriate place to deliver the cyst. Firstly, dissection between the cyst and brain tissue was done to allow the tip and uninflated section of the balloon of the Foley probe to enter without penetrating the parenchyma. Starting from the surface, the Foley probe was advanced step by step around the cyst towards the base, and in regions where dissection was required, the balloon of the Foley probe was inflated and dissection was completed to free any adhesion bands.Fig. 4

Bottom Line: Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method.After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Konukoglu Hospital, Sanko University, Gaziantep, Turkey, nrsrgn@yahoo.com.

ABSTRACT

Background: Delivery of hydatid cysts, especially large ones, without rupture is very important and there is still no 100% successful method.

Methods: After the hydatid cyst was reached, starting near the surface working around the cyst toward the base, a Foley probe was advanced and, in the region of desired dissection, the balloon of the Foley probe was inflated, and adhesion bands were freed to allow dissection.

Conclusions: We believe our balloon-aided dissection technique is a method that increases the chances of delivering hydatid cysts, with no calcification and secondary infection, without rupture.

No MeSH data available.


Related in: MedlinePlus