Outcome karydakis procedure for pilonidal sinus

To analyze the Outcome of karydakis procedure for pilonidal sinus. Prospective interventional Lahore General Hospital, Lahore from January 2001 to December 2004. Patients with chronic pilonidal sinus and Karydakis procedure was adopted. Total No of 60 patients underwent excision and asymetrical primary closure. Six patients required intravenous analgesia minor wound infection was present in twelve patients [20%]. Forty eight [80%] patients were able to resume normal household activities with in two weeks while full outdoor activities were possible in two to three weeks in nearly 100% of cases conversion to open methods was zero with recurrence rate 5% [3 Cases] patients acceptability was 90% [54 Cases]

Minilaprotomy cholecystectomy with mini clip applicator a useful alternative to laparoscopic cholcystectomy

To analyze outcome of after LC [Laparoscopic Cholecystectomy] and MC [Minilaparotomy Cholecystectomy] for symptomatic Gall Stones. Randomised prospective study. Lahore General hospital Lahore from January 2003 to December 2004. Study comprised of two groups [A and B] of 320 people with 160 patient in each group. Group A was offered LC and Group BMC outcome data looked at operative time, rate of conversion to conventional cholecystectomy, operative complication, post of stay, wound infection and patient satisfaction. A total number of 320 patients underwent cholecystectomy with 160 in each LC and MC group. There were 280 [77%] females and 40[33%] males. Median operating time was 60 and 40 minutes for LC and MC, while conversion to conventional cholecystectomy was 12.5% in LC group and 6% in MC group. There was 3% minor bile duct injury in LC and 0% in LC group. There was 6% of wound infection in LC group and 9.3% in MC group while median hospital stay was 1 day for LC and 2 days for MC group while patient satisfaction was 90% for LC and 80% for MC group. MC [Minilaparotomy Cholecystectomy] is a safe and feasible technique in which minimal invasiveness of LC [laparoscopic cholecystectomy] is preserved, so advocating MC for those patients who do not need to return to work early and who are also concerned with cosmetic result