Many strategies have been advocated for treating pilonidal disease, but no consensus has emerged1. Acute pilonidal abscesses have been managed with either simple incision and drainage or with excision and packing in this department. Chronic pilonidal sinuses are treated with the Lord technique or with excision. This study evaluates the results of these therapeutic methods in 100 patients.improve recurrence rates. Mdreover, excision is followed by a longer postoperative convalescence.In conclusion, simple incision and drainage is the Allen-Mersh TG, Pilonidal sinus: finding the right track for treatment. Br J Surg 1990; 77: 123-32. 2 Lord p~, Millar DM. Pilonidal sinus: a simple treatment. Br preferred treatment for the management of acute abscess. SUE 1965; 52: 298-300. Similarly, in chronic pilonidal disease, non-excisional 3 Edwards MH. Pilonidal sinus: a 5-year appraisal of the Millartherapy is preferred. The present data support the Lord Lord treatment. Br J Surg 1977; 64: 867-8. tech,nique because it results in rapid healing and an 4 Kronborg 0, Christensen K, Zimmermann-Nielsen C. equivalent recurrence rate to that achieved by excision. Chronic pilonidal disease: a randomized trial with a complete 3-year follow-up. Br J Surg 1985; 72: 303-4.

No abstract

A B S T R A C T Pancreaticoduodenal artery aneurysms are rare but challenging surgical problems. While physical examination, ultrasound, and computed tomography scans may suggest the diagnosis, more definitive information may be achieved noninvasively by scintiangiography. Angiography is the diagnostic gold standard and remains crucial for rational planning of operative strategy. Surgical repair is usually achieved by exclusion or endoaneurysmorrhaphy. Through use of modern diagnostic and surgical approaches, mortality rates have been reduced from as high as 22% to 6%. The authors herein describe 2 patients with pancreaticoduodenal artery aneurysms and review the management strategies of this challenging problem.

No abstract

No abstract