A case report of successful percutaneous aspiration, injection, and re-aspiration (PAIR) technique for treatment of retrovesical pelvic hydatid cyst

Peer, Sameer; Jabbal, Harmandeep Singh; Singh, Paramdeep; M, Preethi Sharon; Kakkera, Sravya; Bhat, Priya

doi:10.1016/j.radcr.2022.10.056

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The patient’s 1-year postoperative prognosis was good, with femoral function mostly restored ( Moore et al, 2015 ). The use of re-aspiration (PAIR) has shown encouraging results in localized cases where surgical removal is not possible or the patient refuses surgery, relapses postoperatively, or does not respond to pharmacological treatment ( Peer et al, 2023 ).…”

Section: Treatment: Radical Resection and Drug Therapymentioning

confidence: 99%

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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Bone cystic echinococcosis (CE) is one of the most complex and dangerous of all echinococcoses. The lack of typical imaging features and clinical manifestations makes diagnosis and treatment of this disease difficult. X-ray and computed tomography (CT) images of bone CE are similar to those of bone cysts, giant-cell bone tumors, and bone metastases, but magnetic resonance imaging (MRI) shows good diagnostic value due to excellent soft-tissue imaging features. Serological tests cannot be used as a definitive diagnostic method for bone CE due to cross-reactivity, which can lead to false-positive or false-negative results. The development of novel antigens can open new frontiers in the diagnosis of the disease. Currently, views conflict on how to diagnose and treat bone CE. Both surgical and pharmacological treatments can be used, but determining which is appropriate is difficult due to the different sites and clinical manifestations of bone CE. Radical resection is not indicated for large-bone injuries, and Pharmacotherapy becomes important. This article reviews the progress of research into the pathogenesis and clinical manifestations of, and diagnostic strategies and treatment options for, bone CE. We aimed to provide a reference for clinical diagnosis and -treatment options.

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Section: Treatment: Radical Resection and Drug Therapymentioning

confidence: 99%

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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World Review of Minimally Invasive Approaches for the Treatment of Hydatid Cysts: Laparoscopic, Thoracoscopic, and PAIR

Vaseghi,

Aslanabadi,

Badebarin

et al. 2024

Preprint

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Background: Hydatid cysts, which are caused by the tapeworm Echinococcus Granulosus, present a serious health issue in endemic regions. Traditional open surgery, though effective, often results in substantial morbidity and extended recovery periods. Minimally invasive techniques have been increasingly utilized to mitigate these drawbacks, including laparoscopic, thoracoscopic, and PAIR (Puncture, Aspiration, Injection, and Reaspiration) procedures. This review aims to evaluate the safety, efficacy, and outcomes of these minimally invasive approaches.Methods: A literature search of PubMed and Google Scholar databases was conducted between January 1999 and May 2024. The search included studies related to minimally invasive procedures for treating hydatid cysts of the abdomen, pelvic, and thoracic cavities. Inclusion criteria comprised English-language articles, prospective and retrospective studies, comparative studies, case series, and case reports. Data on demographic details, procedure types, complications, and long-term outcomes were extracted and analyzed.Results: In total, 166 studies involving 3080 patients met the inclusion criteria for the review. Laparoscopic procedures were performed in 1538 cases, PAIR in 1312 cases, and thoracoscopic procedures in 573 cases. The liver was the organ most frequently affected, followed by the lungs, kidneys, and other organs. The use of scolicidal agents was reported in 117 studies, with hypertonic saline being the most frequently used. The mean operating time was 110.16 ± 6.50 minutes, and the mean time of hospital stay was 4.77 ± 0.35 days. Four postoperative mortalities and 291 complications, including biliary leakage, infection, and prolonged air leak were reported. Recurrence was noted in 79 patients, primarily following PAIR procedures.Conclusion: Minimally invasive approaches for hydatid cyst treatment, particularly laparoscopic and thoracoscopic procedures, demonstrate significant benefits such as reduced hospital stays, shorter operation times, and lower complication rates compared to open surgery. However, the higher recurrence rate associated with PAIR necessitates careful patient selection and follow-up. Continued research and clinical trials are essential to optimize these techniques and improve patient outcomes.

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A case report of successful percutaneous aspiration, injection, and re-aspiration (PAIR) technique for treatment of retrovesical pelvic hydatid cyst

Cited by 2 publications

References 11 publications

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

World Review of Minimally Invasive Approaches for the Treatment of Hydatid Cysts: Laparoscopic, Thoracoscopic, and PAIR

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