Percutaneous treatment with the Örmeci technique of cystic echinococcosis: experience of single center

Abstract

Background: Hydatid disease is caused by the larval stage of Echinococcus Granulosis which is an important public health and economic problem. The treatment of hydatid cyst is not optimal yet. Objective: We want to show the Ormeci technique is the one of the best treatment options of hydatid cyst. Materials and methods: Five hundred thirty-seven patients with seven hundred and sixteen hydatid cysts had been treated by percutaneous way using the Ormeci technique since 1991. 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 were used in different locations at the same time in CE type 2b, 2c and 3B cysts. The mean follow-up time was 51.24±62.99 (minimum 3.00, maximum 340.00) months. Results: This technique increased the cure rate of CE type 2 and 3B hydatid cysts up to 91.7% without recurrences. The success rate for all types of cysts treated was 95% without mortality. The technique had less morbidity (8.86%) without fistula and abscess. Conclusion: Ormeci technique can be safely and successfully used for the treatment of all kinds of active hydatid cysts.