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- Aspirate with a needle to confirm location
- Incise into the cavity and clean it out
- Drain
- Four weeks of albendazole prior
- Have available a scolicidal agent to wash out the cyst and kill remaining scolices - absolute alcohol
- Sterile black towels to pack off the surrounding tissues
- Warn anaesthetist of risk of anaphylaxis
- Gently separate the cyst from its fibrinous adhesions to surrounding tissues so you have access
- Aspirate the cyst, then inject 20% hypertonic saline, leave it for 20 minutes, then aspirate again
- Can use 'Aarons' cone' to protect from spillage
- Deroof the cavity (some surgeons advocate for complete removal but this is harder)
