Background: Treatment of hydatid cyst typically involves a combination of medical, radiological and surgical approaches. Surgery is the primary and gold standard for hydatid disease. Surgical techniques for hydatid disease are conservative and radical. Radical procedures are open cystectomy, near total open cystectomy, subadventitial cystectomy, non-anatomical liver resection, anatomic liver resection, cystectopericystectomy & total cystopericystectomy; additional procedures are lobectomy & cholecystectomy. Methods: This was a prospective observational study conducted in the postgraduate department of general surgery at SMHS hospital, Gmc Srinagar J&K India over period of 18 months. The study included 25 patients who met the specified inclusion & exclusion criteria. Ethical clearance was obtained from the institutional ethical committee prior to commencing the study. Once diagnosed, patients were counselled on further management and treatment opitions available at the hospital. Results: The mean age in our study was 32.1±11.50 with range of 18-65 years. the most common age group involved in this disease was 18-35years (72%), followed by 35-50 years(24%) and >50 years had 4%. in our study most of patients were females 15 cases (60%) and males 10 cases(40%). Male: Female ratio in our study was 1:1.5. Most common organ involved in our study, liver in 24 cases (96%) followed by spleen in 1 case (4%). In 24 cases (96%) single cyst were found and multiple cysts only in 1 case (4%) .Laparoscopic hydatid cystectomy (LHC) in 6 cases, Open hydatid cystectomy in 16 cases, open hydatid cystectomy with left lateral segmentectomy in 2 cases and open splenectomy in 1 case (4%) was done. External tube drainage for management of residual cavity was done in 11 cases (68.7%) followed by omentopexy in 2 cases (12.5%) capitonnage in 1 cases (16.2%) and primary repair of CBC with omentopexy. Wound infection was seen in 2 cases, prolonged drainage in 1 case, CBC in 1 case, and recurrence in 1 case. Conclusion: The surgical approach may vary depending on factors such as cyst location, size, presence of multiple cysts and cystobiliary communication (CBC).Hydatid cystectomy with external tube drainage is commonly used technique that offers effective management with less complication.

Background: Treatment of hydatid cyst typically involves a combination of medical, radiological and surgical approaches. Surgery is the primary and gold standard for hydatid disease. Surgical techniques for hydatid disease are conservative and radical. Radical procedures are open cystectomy, near total open cystectomy, subadventitial cystectomy, non-anatomical liver resection, anatomic liver resection, cystectopericystectomy & total cystopericystectomy; additional procedures are lobectomy & cholecystectomy. Methods: This was a prospective observational study conducted in the postgraduate department of general surgery at SMHS hospital, Gmc Srinagar J&K India over period of 18 months. The study included 25 patients who met the specified inclusion & exclusion criteria. Ethical clearance was obtained from the institutional ethical committee prior to commencing the study. Once diagnosed, patients were counselled on further management and treatment opitions available at the hospital. Results: The mean age in our study was 32.1±11.50 with range of 18-65 years. the most common age group involved in this disease was 18-35years (72%), followed by 35-50 years(24%) and >50 years had 4%. in our study most of patients were females 15 cases (60%) and males 10 cases(40%). Male: Female ratio in our study was 1:1.5. Most common organ involved in our study, liver in 24 cases (96%) followed by spleen in 1 case (4%). In 24 cases (96%) single cyst were found and multiple cysts only in 1 case (4%) .Laparoscopic hydatid cystectomy (LHC) in 6 cases, Open hydatid cystectomy in 16 cases, open hydatid cystectomy with left lateral segmentectomy in 2 cases and open splenectomy in 1 case (4%) was done. External tube drainage for management of residual cavity was done in 11 cases (68.7%) followed by omentopexy in 2 cases (12.5%) capitonnage in 1 cases (16.2%) and primary repair of CBC with omentopexy. Wound infection was seen in 2 cases, prolonged drainage in 1 case, CBC in 1 case, and recurrence in 1 case. Conclusion: The surgical approach may vary depending on factors such as cyst location, size, presence of multiple cysts and cystobiliary communication (CBC).Hydatid cystectomy with external tube drainage is commonly used technique that offers effective management with less complication.