Method of disinfection of an Echinococcal Cyst
Abstract
In order to increase the aparasiticity of echinococcectomy, to reduce the risk of contact spread of embryos within the operating field, we have developed a "Method for antiparasitic treatment of the echinococcal cyst cavity in an uncomplicated variant of the course of the disease" (Patent for the image No. IAP 2010 0420 dated 08/29/2010), which is distinguished by the fact that cyst puncture is performed and aspiration of its contents, followed by the introduction into the cavity of the chitinous membrane of about the same amount of 80-100% glycerin, heated to 70 ° C, with an exposure of 3-4 minutes. Then the liquid is completely aspirated, the fibrous capsule is dissected, very carefully, the echinococcal cyst is completely removed without damaging it. Next, the inner surface of the fibrous capsule is additionally treated with a hot solution of glycerin for 3-4 minutes, then a microscopic examination of the fibrous capsule washing fluid is carried out to detect the presence of echinococcus embryonic elements (protoscolexes and acephalocysts). The intake of wash water and their microscopy takes 1-2 minutes. After microscopic confirmation of the absence of living germinal elements of the parasite in the washing waters of the fibrous capsule, the residual cavity is closed in a closed or semi-closed way, and if non-dead protoscolexes are found, indicating an error in chemical processing, the procedure is repeated using 80-100% glycerin solution heated to 70 ° C for 5 minutes, and only after reliable antiparasitic treatment of the echinococcal cyst, the operation is completed.
References
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