j health sci med / jhsm Journal of Health Sciences and Medicine 2636-8579 MediHealth Academy Yayıncılık 10.32322/jhsm.1011096 Health Care Administration Sağlık Kurumları Yönetimi Muscle hydatid diseases: percutaneous treatment with Örmeci technique https://orcid.org/0000-0002-8909-2102 Örmeci Necati İSTANBUL SAĞLIK VE TEKNOLOJİ ÜNİVERSİTESİ https://orcid.org/0000-0002-9573-4730 Asiller Özgün Ömer ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE https://orcid.org/0000-0002-0400-0919 Yağcı Cemil ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE https://orcid.org/0000-0001-8532-4917 Örmeci Tuğrul ISTANBUL MEDIPOL UNIVERSITY, SCHOOL OF MEDICINE https://orcid.org/0000-0001-8290-7965 Ellik Zeynep ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE https://orcid.org/0000-0001-9229-0081 Kalkan Çağdaş ANKARA CITY HOSPITAL https://orcid.org/0000-0003-3324-248X İlhan Atilla ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE 05 30 2022 5 3 732 739 11 01 2021 03 17 2022 Copyright © 2018, Journal of Health Sciences and Medicine 2018 Journal of Health Sciences and Medicine

Aim: To present results of percutaneous treatment with Örmeci technique for muscle hydatid diseases.Material and Method: Twelve patients (9 male, 3 female) with 16 hydatid cysts (10 CE Type 1, 6 CE Type3B) were treated by percutaneous treatment with Örmeci technique. The percutaneous puncture was performed under sonographic guidance using a 22-gauge Chiba needle as a one-step procedure in CE type 1 and 3A. However, two to six Chiba needles according to size of the cysts were used in different locations at the same time in the cyst of CE type 2, and 3B). For every 1 cm of the long diameter of the cyst lesion, 3cc of fluid from the cysts was aspirated, which was almost the same amount of cc in volume for the CE type 1 and CE type 3A hydatid cysts. A 2cc of pure alcohol (96 %) and 1cc of polidocanol 1% (ethoxysclerol 1%, Kreussler Pharma, Wiesbaden, Germany) were injected into the cysts right after the aspiration of CE type 1 and type 3A, without the aspiration of CE type 2 and 3B, for each centimeter of the long diameter of the cysts. The total amount of pure alcohol and polidocanol were injected equally among the CE type 2 and type 3B cyst’s needles. It was waited for five minutes for all scolexes to be killed and the needle/or needles were taken back. The patients with hydatid disease were followed up mean 34.75 ±14.39 (maximum 65-minimum 15) months. Findings: Fifteen out of 16 hydatid cysts (93.75%) cured. We had two complications of treatment. One patient had an abscess in the cyst after the percutaneous treatment. After the percutaneous drainage, patient was cured well, and he had no symptoms during the follow up. Another patient had torpidity in his leg after the treatment. After three months, he had no symptoms.In Conclusion, Percutaneous treatment with Örmeci technique is outpatient based, successful, safe, repeatable, cheap and It can be used as an alternative treatment in selected patients.

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