experience with primary closure in pilonidal sinus

Variety of procedures adopted for the management of pilonidal sinus attest to the fact that the choice depends on the surgeon. The advantages of successful outcome in primary closure are obvious. This procedure is carried out under general anaesthesia, the hospital stay is minimal and postoperative care restricted to the basics. The problem with procedures carried out as day cases under local anaesthesia is the long and tedious follow-up required postoperatively till the wound heals. Of the 52 cases dealt by primary suture only one [1.92 percent] had recurrence and 2 of the initial 7 in whom suction drain was not kept required change of dressing because of soakage, prior to removal of stitches

role of one-stage surgery in acute large bowel obstruction

A study was carried out in Surgical-Unit II, Jinnah Postgraduate Medical Centre Karachi from July 1994 to June 1997. A total of 29 patients of large bowel obstruction were selected for this study, who underwent emergency one-stage procedure [resection and primary anastomosis] for colonic obstructive lesions by our surgical team. All but one patient did well with no evidence of anastomotic leak. There were three wound infections and one abdominal wound dehiscence. There was only one death in the immediate post-operative period. The average hospital stay was 19.3 days. The commonest pathology was adenocarcinoma of colon