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  • ISSN: 2373-9819
    Volume 6, Issue 1
    Case Report
    Noman Shahzad* and Abdul Rehman
    Laparoscopic Cholecystectomy was performed in a morbidly obese patient (BMI 44.35) who presented with recurrent attacks of biliary colic.
    Carolina Fonseca* and Aziz Mohamad
    Collision tumor consisting of medullary thyroid carcinoma and papillary thyroid carcinoma is an extremely rare occurrence 3. We report a case of an 89 year old female diagnosed with uncommon collision tumor of the thyroid based on cytological evaluation of a fine needle aspiration specimen.
    Stella Cortes Verdasca*, Domingas Pereira, and Jose Vaz
    Buerger's disease or thromboangiitis obliterans is an inflammatory, non-atherosclerotic process that affects small and medium-sized vessels and nerves at the extremities. It is manifested by pain and claudication of the fingers, evolving into necrosis and ulceration. Amputation is a reality for many patients.
    Buerger's disease is rare, and the pathophysiological mechanisms that trigger it are not clear. However, there has been good progress in understanding the pathogenesis of the disease and there is a strong association with smoking, immunity, disorders of coagulation and heredity. This is a clear example that exposure to tobacco contributes to the onset and worsening of the disease. Smoking cessation and vasodilator therapy appear to be the best therapeutic strategy.
    Krishna Prasad K, Rahul Singh R*, Amal Abraham, Padmalakshmi, Rami Reddy, Vijay Kumar, and Sreeramulu PN
    Background: Pilonidal sinus is a cavity in the subcutaneous tissue which is lined by granulation tissue contains hair and communicates with the surface by a track line usually by squamous epithelium continuous with the epidermis. It is a disease that most commonly arises in the hair follicles of the natal cleft of the sacrococcygeal area. Incidence is reportedly 26 per 100,000 populations, affecting males four times as often as females and predominantly young adults [1]. In this study we compared minimally invasive crystallized phenol application with modified Limberg flap reconstruction as the treatment strategies for pilonidal sinus in terms of length of hospital stay, rates of recurrence and infection, time taken for wound healing and complication rates.
    Methods: A prospective study in which 22 patients undergoing treatment for pilonidal sinus were studied from December 2015 to November 2017. Block Randomisation applied. Post operative pain, duration of stay in the hospital, development of surgical site infections (SSI’s) and other demographic data was analyzed.
    Results: Out of 22 patients undergoing treatment for pilonidal sinus, 11 each were divided into 2 groups with group A, treated with Crystallized phenol application and group B treated with modified Limberg flap reconstruction. Crystallized phenol application is non invasive and patient friendly technique with less duration of stay in hospital and cost effective, only disadvantage is that it has high recurrence rate compared to Flap reconstruction.
    Conclusion: Though there have been various other studies done recruiting patients in a bigger number, this study and the data obtained goes in favor of phenol treatment to be a convenient treatment of choice for pilonidal sinus disease because of its many advantages such as being a minimally invasive procedure, performed under local anesthesia, higher success rate after multiple applications, and decreased length of stay in hospital with minimal surgical scar formation.
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