Where is PAIR (puncture, aspiration, injection, reaspiration) treatment for hydatid cysts of the liver performed and what follow-up care is indicated?

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

Patients should be followed clinically after PAIR treatment. Recurrence is increased in more complicated cysts, including those with multiple daughter cysts.

PAIR should only be performed in highly specialized centers with appropriately trained and experienced staff. In addition, an anesthesiologist should be present for monitoring and treatment in the event of anaphylactic shock. Surgeons should be notified immediately in case of complication.


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