Wednesday, 16 September 2015
Friday, 15 January 2010
Tuesday, 8 December 2009
Thursday, 10 September 2009
Thursday, 27 August 2009
Wednesday, 13 May 2009
Pilonidal sinus disease is treated surgically. There are over 50 operations described, all of which cause some pain and discomfort and have a recurrence rate of 5-30%. Building on the use of glue for fistula in ano I have used fibrin glue to treat pilonidal disease with success, the patients going home the same day and often back to work within 40hours. recurrence rate so far is 10-15%.
The sinus complex is curetted to remove hairs, debris and granulation tissue.
Fibrin glue is injected into the sinus complex
No dressing is needed and the patient can go home when recovered from the anaesthetic
Tuesday, 12 May 2009
Thursday, 7 May 2009
Tuesday, 28 April 2009
45 year old man had pilonidal disease since his early 20s. His first operation was 23 years ago and he has had multiple procedures since. His natal cleft was often painful and discharged pus frequently. He had multiple pits and hard indurated tissue in the natal cleft.
To cure the recurrent disease, radical excision of the affected area and coverage of the defect with a rhomboid flap was performed.
The patient was kept in for 2 days nursed on his side or prone.
Thursday, 23 April 2009
A man in his 30s presented with a history of 18 years of crohns disease confined to his colon and rectum with a watering can anus. He was unresponsive to medical treatment and continued to smoke
The colon was fully mobilized and extensive excision of peranal skin affected by multiple fistulae performed. The colon, rectum and anus were removed from the perineum.
This left a big defect!