Pilonidal sinus excision, primary lateral closure with wound drainage

To find out the efficacy of excision of pilonidal sinus, primary lateral closure and wound drainage in terms of rapid healing of the wound, decreased morbidity, hospital stay, expenses and early return of the patient to work. Interuentional Study. Surgical unit VII of Dow Medical College and Lyari General Hospital Karachi, over a period of 3, 1/2 years from January 2001 till June, 2004. A study was conducted on 30 patients fulfilling the criteria for excision of pilonidal sinus, primary lateral closure and wound drainage. Patients were having either one or multiple discharging sinuses without abscess formation and those with multiple sinuses, opening not more than 2cms from the midline. Patients with past history of abscess formation, surgery and diabetes were excluded from the study. Patients' age, profession, height, weight, symptoms, signs and their duration, previous treatment, duration of operation, hospital stay and total cost and return to normal activity were noted. Excision of pilonidal sinus primary lateral closure and wound drainage had excellent results. Healing with primary intention took place within 10 days in all cases with return to work in 2 weeks time. Patients were followed up till June, 2004 without any evidence of recurrence. Excision with primary closure of wound lateral to midline to flatten the natal cleft and post operative drainage of the wound with use of antibiotic are m and atory for smooth healing,thus preventing complications and recurrence

Hydatid cyst of breast a case report

A 32 years old lady lactating for 9 months presented with lump in breast for 6 months.Mammography was the only investigation which patient had with her and was not willing for further investigations. Clinical and mammographic assessment was suggestive of cystic lesion of breast probably galactococle. Lumpectomy was done and biopsy report suggested hydatid cyst