Limited excision and primary closure for pilonidal sinus

Pilonidal disease is a common disorder of the sacrococcygeal region. Various techniques have been used but no method provides the ideal treatment. This study was done to establish to what degree pilonidal sinus could be treated with limited excision and primary closure. 39 patients with chronic pilonidal sinus were treated by limited excision and primary closure between July 2005 and January 2008 by the authors at general surgery department Mansoura University Hospital. They were followed up in the early postoperative period and thereafter for 12 to 30 months. One patient had mild seroma, another one developed irregular scar with accepted healing outcome. All patients were discharged from hospital in the 2nd postoperative day. Operative wounds healed in a period ranged from 12-22 days. The postoperative follow-up now ranges from 12 to 30 months, and no recurrences have been recorded so far. Limited excision of Pilonidal Sinus represents a good therapeutic option for treatment of pilonidal sinus This method has the advantages of having a low morbidity, short hospital stay, early return to work, no recurrence and good long-term results

Modified extra dartos pouch orchiopexy: preliminary report of 72 cases

Undescended testes are a common problem, affecting up to 3% of newborn males. The goals of orchiopexy in humans are to provide adequate scrotal fixation, to prevent recurrent torsion of the testis and spermatic cord or ascent of the testis, and to achieve these goals with minimal trauma to the testis. The best method of achieving fixation remains controversial. The aim of our study is to evaluate our modified extradartose pouch technique in retaining testis in the scrotum. Patients and methods: Between August 2005 and September 2008. Our studied group included 61 patients with 72 orchiopexies age ranged from 5 months to 15 years with the mean age of 58.5 +/- 40 months [4.8 years] all cases had palpable undescended testis 20 pa tients [32.7%] had unilateral left side 30 patients [49.1%] had unilateral right side and 11 patients [18%] had bilateral undescended testis. Testis was located in the superficial inguinal pouch in 33 cases [45.85%], intra-canalicular in 39 cases [54.16%]. Hernial sac was found in 69 cases [95.8%], postoperative wound infection occurred in one case[1.38%] and haematoma formation in two cases [2.77%] no ascent of the testis nor testicular atrophy was observed in the follow up period. which extends now up to 3 years and we still follow up those cases.3 patients [4 orchiopexies] lost follow up. Our modified technique for extradartose pouch fixation seems to be a fast reliable method for orchiopexy however comparative studies and long term assessment is still needed to establish this method