Laparoscopic management of hydatid cysts using long ribbon gauze:An initial experience of 37 consecutive cases

Objective:The laparoscopic approach is becoming the standard of care for many surgical disorders.However,in the case of hydatid cysts,laparoscopic management is challenging due to the risk of spillage of hydatid fluid,which can cause an anaphylactic reaction and recurrence.Here,we report our initial experience with laparoscopic partial pericystectomy of hydatid cysts using long ribbon gauze to decrease intra-operative spillage.Method:This was a retrospective study(between January 2010 and December 2021)in the Department of Surgical Gastroenterology,Sanjay Gandhi Postgraduate Institute of Medical Science,a tertiary care referral center in northern India.Here,we have included 37 consecutive patients with hydatid cysts of the liver and spleen.Diagnosis was made by laboratory and imaging findings(abdominal sonography or contrast enhanced CT scans).All patients were managed with laparoscopic partial pericystectomy.Intraoperatively,a betadine-soaked long ribbon gauze,high-pressure suction canula,and an endo-bag were used in all patients.The collected data included patient demography,location,size,and number of cysts,WHO type,operative time,blood loss,postoperative complications,hospital stay and follow-up.Result:In our series,the mean age was 38.4±13.6 years,15(40.5%)were men and 22(59.5%)were women.The right lobe of the liver was the most commonly affected site(21,56.8%).The mean operative time was 80.0±32.0 min,and intraoperative blood loss was 23.6±11.5 mL.Bile leak was present in 6(16.2%)patients.There was no mortality.The hospital stay was 5(3,9)days,and no recurrence was observed at a median follow-up of 36 months.Conclusion:Laparoscopic partial pericystectomy using this technique is safe in the management of hydatid cysts.Simply,proper packing and safe removal of soaked gauzes can minimize the incidence of postoperative complications and recurrence.

DNACDS:Cloud IoE big data security and accessing scheme based on DNA cryptography

The Internet of Everything(IoE)based cloud computing is one of the most prominent areas in the digital big data world.This approach allows efficient infrastructure to store and access big real-time data and smart IoE services from the cloud.The IoE-based cloud computing services are located at remote locations without the control of the data owner.The data owners mostly depend on the untrusted Cloud Service Provider(CSP)and do not know the implemented security capabilities.The lack of knowledge about security capabilities and control over data raises several security issues.Deoxyribonucleic Acid(DNA)computing is a biological concept that can improve the security of IoE big data.The IoE big data security scheme consists of the Station-to-Station Key Agreement Protocol(StS KAP)and Feistel cipher algorithms.This paper proposed a DNA-based cryptographic scheme and access control model(DNACDS)to solve IoE big data security and access issues.The experimental results illustrated that DNACDS performs better than other DNA-based security schemes.The theoretical security analysis of the DNACDS shows better resistance capabilities.