The Use of Radiofrequency Thermal Ablation Method in The Treatment of Hepatic Hydatid Cysts: Ex vivo Sheep Study

• Published in: Türkiye parazitolojii dergisi Vol. 43; no. 1; pp. 10 - 15
• Main Authors: Sarıcık, Bekir, Kartal, Adil, Esen, Hasan, Demircili, Mehmet Emin
• Format: Journal Article
• Language: English
• Published: Turkey Galenos Publishing House 28-03-2019; Galenos Yayinevi
• Subjects: Cysts; hepatic hydatid cysts; Hydatid disease; liver; Membranes; Parasites; Radiofrequency thermal ablation; hepatic hydatid cysts; liver; Radiofrequency thermal ablation
• ISSN: 1300-6320; 2146-3077; 2146-3077
• DOI: 10.4274/tpd.galenos.2019.5461

Hydatid disease is a disease caused by parasites belonging to the echinococcus family. This disease is often caused by
and rarely by echinococcus alveolaris.The parasite may cause illness anywhere in the human body, mainly in liver. In this study, we aimed to destroy the hydatid cyst viability by Radiofrequency Thermal Ablation (RFTA) method which has been used in many areas in medicine.
We used fresh sheep liver with hydatid cysts. Average diameter of cysts was 3.3 cm. The study was performed in 3 groups, each of which involved 20 cysts. After more than half of the cyst fluid was drained, ablation was performed. When the core temperature of the cyst exceeded 95°C, ablation procedure was continued for 3 minute in 1
group and for 4 minutes in 2
group. Third group was the control group. And then, cyst fluid and germinative membrane were collected for microbiologic and pathologic assessment.
In 1
group, the cysts could not be destroyed at the desired level. In 2nd group, it was observed that 100% of the protoscolex died and 100% of the germinative membranes was degenerated. In control group, %13 of protoscolex died and %10 of germinative membranes wasdegenerated.
We destroyed all the protoscolex and germinative membranes by using RFTA in 2
group.