Omentoplasty in Hydatid Liver Cysts

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3 months ago
General Surgery

Case description

Omentoplasty, also called omentopexy or omental packing, is the only cavity management technique that has a preventive effect on postoperative biliary leakage, biliary fistula, and deep cavity abscess, as proved by prospective randomized studies. After unroofing the residual cavity, a pedunculated omental flap with a good blood supply is fashioned and drawn up into the cavity to obliterate the dead space, and the flap is maintained in position without tension with sutures to the pericystic wall. Omentum has a natural absorptive capacity, which decreases the risk of infection and minimizes fistula formation.  

tags: Omentoplasty in Hydatid Liver Cysts Omentoplasty Hydatid Liver Cysts omentopexy omental packing cavity management technique biliary leakage biliary fistula surgical technique surgical video case deep cavity abscess omentum surgical education surgical training

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