Tuba Apaydın

By Tuba Apaydin

Hydatid disease is a widely common parasitic disease caused by the species; Echinococcus granulosus and Echinococcus multilocularis. Echinococcosis is a serious medical, economical and social handicap all over the world. Almost any organ of the body can be involved with the zoonosis, liver and lungs are the most frequently involved organs. Imaging has a critical role for diagnosis of the disease. Radiography is the first imaging tool. Although CT aids the detection of size, number, location and imaging of local complications for diagnosis of hydatid cysts, sometimes atypical lesions rise in the imaging tools. MRI may help for differentiation of hydatid lesions from other neoplastic and hypodense infective lesions. MRI is also better for biliary and neurological involvement. Ultrasound is especially helpful for abdominal hydatidosis and peripheral lung lesions. Regarding that clinical evaluation is difficult for hydatidosis; radiological findings should be evaluated well for accurate diagnosis. This chapter will focus on imaging of echinococcosis.

Part of the book: Overview on Echinococcosis

By Tuba Apaydin

The role of minimal invasive surgery in management of chest trauma should not be underestimated. The amount of data for video-assisted thoracoscopic surgery (VATS) management in chest-trauma patient is rare. Nevertheless the on-going acceptance and use of VATS for major thoracic resections has led to advanced techniques for management of major bleedings in the elective-surgery-patient. VATS as a procedure for pleural space management in the non-critical, non-massive-transfusion patients can be of great assistance. Its value in persistent non-major-vessel-bleeding hemothorax in terms of pleural space debridement is unchallenged. In some cases VATS is considered to be related to lower ARDS-rates in comparison to open thoracotomy patients, whereby an obvious bias for the non-massive-injury-patients exist. Jin et al. could prove a significant advantage for stable thoracic trauma patients treated through VATS in a randomised trial vs. open thoracotomy.

Part of the book: Trauma and Emergency Surgery