What is the role of medical therapy in the treatment of hydatid cysts of the liver?

Updated: Jun 12, 2018
  • Author: Robert E Glasgow, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Medical therapy with antihydatid agents (albendazole and mebendazole) is relatively ineffective. These drugs are used as adjuvant treatment, but they do not replace surgical or percutaneous therapy. In surgically treated patients, the use of antihydatid agents is generally given perioperatively; continuation is limited to those who have spillage of cyst fluid at the time of operation or to those with cyst rupture. Antihydatid agents are used in conjunction with percutaneous treatment. Medical therapy should be started 4 days before percutaneous treatment and continued either for 1 month (albendazole) or for 3 months (mebendazole), according to the World Health Organization (WHO) recommendations.


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