Recurent erchinococcosis of the liver

This article presents the incidence of recurrent liver echinococcosis based on data from Bishkek City Clinical Hospital No. 1, diagnostic features, differential diagnosis from residual cavities after echinococcectomy of nonparasitic liver cysts, and the results of surgical treatment of its various forms. In recent years, there has been an increase in primary echinococcosis in the Kyrgyz Republic, along with a growing number of patients with recurrent echinococcosis, the diagnosis and treatment of which presents certain difficulties compared to primary echinococcosis. Existing immunological methods are uninformative due to sensitization after primary echinococcosis. The results of using various scolexicidal drugs to destroy fruiting elements of echinococcal cysts are studied. The effectiveness of using a 0.2% Decasan solution for the prevention of echinococcosis recurrence has been proven. The primary treatment for recurrent echinococcosis is surgery combined with antiparasitic medications. Videolaparoscopic surgical techniques used for primary echinococcosis are not possible in cases of recurrent echinococcosis due to adhesions after the initial surgery. However, a minimally invasive method, ultrasound-guided cyst puncture with drainage and active aspiration, is available. A 0.2% Decasan solution is injected into the cyst cavity to destroy the fertilizing elements of thе echinococcosis