The motivation for abdominoplasty in females is parallel to the amount of EWL or waist circumference. Female patients are looking for body countering three months after surgery, while male patients more often than not request body shaping following one year after surgery, the age groups are invert in genders; female patients asking for body contouring in younger age group while male patients in older age group.
Background: Sacrococcygeal Pilonidal sinus (SPNS) isa common problem has a variable presentation and many surgical techniques for treatment. Still, there is controversy about the best method of surgery, because of notable rates of recurrence. Objective: The aim is to clarify the better, cost-effective and less painful method for treating patients having SPNS. Methods: This is a retrospective study of 119 patients with SPNS, treated by two different surgical methods: group A (69 patients) treated with open surgery and group B (50 patients) treated by primary midline closure. The patients followed for 2 years. Comparison between the two groups was done, for post-operative complications and recurrence. The data were analyzed using of Statistical Package for Social Science (SPSS) version 21. Chi square used to determine association between variables. P value < 0.05 is regarded statistically significant. Results: From 119 patients: Group A (69 cases) underwent open surgery and group B (50 cases) had primary closure. Postoperative infection was (5.9%), bleeding (2.5%), scar fissuring (5.9%) and chronic pain (3.4%). Recurrence found in 6 patients (5%); 2(2.9%) in Group A and 4(8%) in Group B.Conclusions: The open method needs multiple dressings which are coasty and painful, longer healing time and may be complicated by scar fissuring, but of lower recurrent and infection. The closed method is preferablefor patient's comfort, and it is costeffectiveness.
Background
Mucopolysaccharidosis (MPS) is a rare inherited storage disease caused by defect or absence of a lysosomal enzymes that result in systemic deposition of MPS recently called glycosaminoglycans (GAG) with development of a spectrum of diseases of different presentations and severity. Hurler disease is a subtype of (MPS I) caused by α L-iduronidase enzyme deficiency in the lysosomes.
A thirteen-year-old female mentally retarded patient, short stature with multiple congenital abnormalities admitted to Sulaimaniyah emergency hospital in the Kurdistan of Iraq. She had a huge irreducible umbilical hernia with ulceration and protrusion of the omentum and small bowel from the hernia sac diagnosed after
admission as Hurler syndrome. She was treated successfully as an emergency case and the patient discharged well following a challenging operation.
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