Pilonidal disease of the umbilicus

Six patients [5 males and 1 female] with umbilical pilonidal disease, were treated by excision of the umbilicus with a limited safety margin. Inverting skin-to-aponeurosis sutures were used. A rare case of umbilical pilonidal disease with a urachal remnant is described. The condition is not that rare and requires a high index of suspicion for diagnosis

Spontaneous rupture of the liver in postpartum patients with HELLP Syndrome; the role of packing liver lacerations with Surgipro mesh, preliminary report

Two patients with preeclampsia and HELLP syndrome suffered from massive intraperitoneal hemorrhage due to spontaneous postpartum rupture of the liver. Emergency resuscitation, exploratory laparotomy and packing of the liver lacerations with Surgipro mesh rolls could control the bleeding from the liver lacerations

Mini laparotomy cholecystectomy: modified technique

In this study 150 patients with chronic calcular cholecytits were operated upon as elective mini laparotomy cholecystectomy in a 3-year period. This operation was done through a 5-6 cm incision thus reducing the morbidity of large incisions. The incision was centered upon the funds of the gall bladder helped by the preoperative abdominal ultra sonography. The mean age of the patients in this study was 45 years and the mean weight was 75 kg. The number of female patients was 126, making female to male ratio 6:1. Two types of incisions were done, either transrectal or oblique muscle splitting incision depending upon the location of the fundus of the gall bladder. The mean time of the operation was 60 min and the mean hospital stay was 4 days. The average time to resume normal activity was 10 days and no serious complication occurred in this study. In 14 patients [9.5%] the incision had to be extended for extra 3 cm due to the presence of severe adhesions in the region of Calot traingle mini- lap cholecystectomy performed with the technique by centering the incision upon the fundus of gall bladder using preoperative ultrasound and the use of fiber optic head light attained good exposure in most patients. This procedure was safe and has a definite reduced morbidity than the standard open cholecystectomy