Barw Barw Medical Journal 2960-1959 2023 05 07 Capitonnage Method for Surgical Management of Pulmonary Hydatid Cysts: A Case Series 10.58742/bmj.v1i2.26 eng Okba F. Ahmed Mosul Cardiac Center, Mousl, Iraq. okba.ahmed@gmail.com Omar Modhafer Hamodat Department of cardiothoracic and vascular surgeon, Al-Jamhoori Teaching Hospital, Mosul, Iraq. omar.hamodat@gmail.com Fakher Abdullah Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. fakher.abdullah@gmail.com Muhammad Hassan Ali Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. muhammad.ali@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq Dlsoz M. Hussein Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. dlsoz.hussein@gmail.com Rawezh Qadir M. Salih Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. rawezh.salih@gmail.com Suhaib H. Kakamad Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. suhaib.kakamad@gmail.com Bnar J. Hama Amin Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. bnar.amin@gmail.com Berun A. Abdalla Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. berun.anwer95@gmail.com Shvan H. Mohammed Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. shvanh80@gmail.com 2023 04 02 Abstract Introduction Hydatid disease of the lung, which is caused by Echinococcus granulosus, is commonly found in Mediterranean countries. Surgery is the primary mode of treatment for patients with pulmonary hydatid disease. This study aims to assess the efficacy of capitonnage in the management of the condition. Methods This retrospective study was done between February 2017 and December 2019, in Al-Jumhoory Teaching Hospital, Al-Khansaa Teaching Hospital, and Al-Rabee Private Hospital in Mosul, Iraq. Patients with different presentations of pulmonary hydatid disease were treated surgically with cyst enucleation and capitonnage technique. Results A total of 118 patients with pulmonary hydatid cyst cases were included in our study. There were 73 males and 45 females, with a mean age of 30 years. More than one-third (45 patients) were asymptomatic, and 73 complained of chest pain, cough, and/or respiratory distress. Other organs were involved in 27 patients, 22 in the liver, 3 in the spleen, and 2 in both. Forty-nine patients had intact cysts that were extracted intact, while the remaining 69 had ruptured cysts, and 6 patients of the latter group presented with pneumothorax. A small number of these patients developed prolonged air leakage, and the majority stayed in the hospital for one day. No death occurred in our study. Conclusion We concluded that when the capitonnage technique is used carefully on the foldings of pericystic tissue, the rate of atelectasis and distortion is very low and may be beneficial in reducing the risk of postoperative air leak.