RESUMO
Objective: To assess the outcome of various surgical techniques applied for treatment of pilonidal sinus natal cleft
Study Design: Retrospective study. Place of Study: Zayed Military Hospital, Abu Dhabi, U.A.E. Period: Jan-2013 to Dec-2016
Methodology: Total cases operated 234, male 217 female 17, Surgical procedures performed, excision with primary closure, excision with marsupialization, excision with laying open and excision and closure with flaps. Age 14 to 49 years, median age 21 years, average BMI 33kg/m[2]
Results: Average healing time14 days, 43 days 56 days and 14 days from group one to four. Wound infection 3.4 %, bleeding 5.9 %. Recurrence rate of 12.3%. Marsupialization showed zero percent wound infection, bleeding of 4.6% and recurrence of 11.6 %
Conclusion: Excision and marsupialization is easy to perform, appears to have less complications, relatively shorter healing time and almost similar recurrence. In addition higher BMI showed higher recurrence rate
RESUMO
To find out the magnitude of breast diseases and their distribution in different age groups among the patients attending surgical OPD for surgical consultation at POF Hospital Wah Cantt. This is a retrospective observational type of study. Patients attending surgical OPD for breast problem from January 2000 to December 2007 were included. They were assessed clinically and their diagnosis was confirmed by cytological [FNAC] or histopathological [biopsy] examination. Records were taken from pathology and surgery department and the patients were retrospectively reviewed. 954 cases of breast disease were diagnosed. These include 905 female and 49 male patients. Benign breast diseases [BBD] were the most common lesions of the breast found in this study [71.5%] whereas malignant lesions were on the rise with each passing year [28.5%]. Among BBD, the most common lesion was fibroadenoma [49%] followed by breast abscess [13%], Fibrocystic disease [9.3%] and gynecomastia [6.8%]. 271 cases [28.5%] were malignant lesions. This includes 269 female and 2 male cases. The common ages for BBD were, 12-30 years for fibroadenoma, 15-40 years for breast abscess, 18-40 years for fibrocystic disease and 15-29, 50-59 for gynecomastia respectively, whereas carcinoma breast was seen in the age group of fifties initially, getting more common in forties, in the later part of study. We conclude from this study that BBD is the most frequent breast ailment. Among the BBD, fibroadenoma was the most common lesion. Breast carcinoma cases were becoming more frequent but reached hospital at a late stage of the disease. Infiltrating ductal carcinoma was the most common malignancy noted