What is PAIR technique for treatment of hydatid disease of liver -
Ans. is 'b1 i.e., Puncture aspiration injection reaspirition (PAIR) technique (www.emedicine.medscape.com/article/178648-treatmentM; WHO/CDSCSR/APH/2001.6)o PAIR technique was proposed in 1986 by a Tunisian team.o In this, US guided needle aspiration of cyst is done followed by injection of scolicidal agent and reaspiration after 5 minutes.o Scolicidal agent used is 15% hypertonic saline or 95% alcohol.Indications-Non echoic lesion > 5 cmCysts with daughter cysts and/or detachment of membranesMultiple cystsInfected cystsPregnent women, children > 3 yearsFailure to respond to chemotherapy alonePatients refusing for surgery or relapsing after surgeryContraindications -Non co operative patient'inaccesible or risky location of cystCyst in spine, brain and.;or heartInactive/calcified lesion.Cysts communicating with biliary treeCysts opening into abdominal cavity, bronchi and urinary tract.
Punchure albendazole irigation regimen
Puncture aspiration injection reaspiration technique
Praziquantel Albendazole injection reaspiration technique
Partial resection of affected organ (liver)
Hepatic Tumors, Cysts, and Abscesses