The effects of crystallized phenol treatment of pilonidal sinus on quality of life has not been investigated before. This study aimed to compare the phenol treatment with surgical excision plus primary closure technique in terms of life quality by means of a life quality questionnaire. This is a prospective randomized clinical study. The study was conducted at Training and Teaching Hospital, Kayseri, Turkey. In total, 40 patients with pilonidal disease were randomly assigned into 2 clinically comparable groups between September 2010 and June 2011. Cristallyzed phenol application was done to 20 patients and surgical excision plus primary closure was done to 20 patients for the treatment of pilonidal disease. Data regarding demographic variables were recorded. To evaluate quality of life and patient comfort all patients asked to fill the questionnaire after complete healing occurred. There was no difference between the groups in age, sex and occupation. Two of the 20 patients in the excision and primary closure group had complication of wound dehiscience and needed prolonged wound care. There was significant differences in favor of the phenol group in all terms of life quality except for complete healing time. As a first degree treatment, phenol treatment is better than the other treatment choices of pilonidal disease in terms of time off work perioperative pain, being away from school and social life. Also phenol treatment can be done without any pretreatment laboratory examination. Further studies will be needed about cost-effectivity of phenol treatment.
Objective: To determine the diagnostic value of preoperative immature granulocyte (IG) count and delta neutrophil index (DNI) level before clinical detection of axillary lymph node metastasis.
We would like to thank you for the opportunity to respond to the issues raised by the author of the "Letter to the Editor" and to clarify aspects of statistical methodology and certain points for our article published in the latest issue of the Surg Laparosc Endosc Percutan Tech in relation to these concerns. We would also like to thank our colleague for his interest in our paper and for taking the time to express his concerns.The paper contains a lot of data. In Reply to the Letter, we would like to discuss some points in this letter. The percentages in the quoted sentences are data taken from published articles. As stated in the Conclusions section, our study supports combined treatment methods. In our paper, combined preoperative and postoperative approaches for liver hydatid disease along with a schematic representation of practical suggestions are presented. We believe that a valuable and unique approach was proposed in a diagram for the physician following the patient.In our study, surgical treatment was performed for all patients, but only patients with appropriate indications underwent endoscopic retrograde cholangiopancreatography. All patients were administered adjuvant and neoadjuvant antihelminthic therapies. The number
Ascaris lumbricoides is a common parasitic disease all over the world, especially in less developed countries. Acute appendicitis related to parasitic infection is a rare condition. Parasitic infections should be kept in mind in patients who are admitted to the emergency department with acute abdomen, especially in endemic areas.
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