Incidence and prevalence of liver disease in hundred and seventy open cholecystectomies

In this study, liver biopsy was taken from 170 patients who underwent open cholecystectomy for calcular cholecystitis and was subjected to a pathological examination. Only 42 livers were normal. Seventy-five biopsies had fatty liver [steatosis], 21 showed congestion, 30 showed chronic viral hepatitis and 18 showed fibrosis [1 of them was periportal and 17 posthepatitic]. Reactive hepatitis was found in five cases. In one of the biopsies, there was a sarcoidal reaction and another evidence of amyloidosis. The high evidence of fatty liver may suggest that this pathological change could be the cause of lithogenic bile. Taking a liver biopsy during cholecystectomy is safe, simple and beneficial

Pilonidal disease: a simple treatment for a simple disease

In this study, 28 patients with pilonidal disease were treated, either conservatively by hair removal and local hygiene or surgically by a simple procedure of limited excision and modified marsupialization [i.e. suturing the skin edge on either side of the elliptical wound to the middle of the floor of the wound]. The results were strongly in favor of this policy of simple procedures whether surgical or nonsurgical