Acute Pilonidal Abscess

The classical treatment for acute pilonidal abscess was incision and drainage followed after that by definitive surgery which was then planned electively. However, recent literature reported encouraging results following definitive surgical treatment of acute pilonidal abscess obviating the need for a second surgical procedure. In this work, the policy of definitive surgery was adopted from the start in 14 patients presented with acute pilonidal abscess where the abscess was drained, followed by excision of the midline pits and the septic granulation tissue surrounding the abscess cavity and the midline pits so as to leave a clean cavity in its walls and floor. The results were very satisfactory. Sound healing took about four- six weeks in thirteen cases with only one case with delayed healing about two months. The follow up period extended from six months to two years with only one recurrence

Fine needle aspiration cytology in the diagnosis of lymphadenopathy

The results of fine needle aspiration cytology [FNAC] were compared with the clinical and histopathological results in 125 patients with lymphadenopathy with the final diagnosis of benign lymphadenopathy in 54 cases and malignant lymphadenopathy in 71 cases. The material was sufficient for cytological analysis in 92% of the patients. Correct cytological diagnosis was achieved in 79.6% of benign lymphadenopathy and in 85.9% of malignant lymphadenopathy with an overall accuracy of 83.2%, FNAC is effective, safe and simple technique for discovering the etiology of lymphadenopathy. Rebiopsy is recommended in lesions with no diagnostic cells in the aspirate and when the diagnosis is doubtful, surgical excision for histopathology is mandatory