OBJECTIVE To compare the outcome of Open excision and secondary healing with rhomboid excision and Limberg flap in the management of sacrococcygeal pilonidal sinus disease (SPD). METHODS A prospective, analytical, comparative study using randomized controlled trial (RCT) was conducted at Liaquat University Hospital (Jamshoro) & Fatima Hospital-Baqai Medical University (Karachi), from June 200...

The treatment of CIN: what are the risks?The treatment of squamous cervical intraepithelial neoplasia is to remove or destroy the transformation zone (TZ). It is likely that no method of treatment is superior to another if it is performed properly and the limited available evidence supports this view. The significant advantages of excision (simplicity, cost, outpatient procedure, histological e...

Objective: To study patients coming for surgical removal of their tattoos with regard to treatment outcome. Methodology: It is a descriptive and observational study, conducted at Plastic, Reconstructive & Micro-Surgery Department of Dow Medical College & Civil Hospital, Karachi over a period of one year. Twenty four patient, 18 males and 6 females, who came for tattoo removal and were found to ...

background depending on the cause, 40-90% of every deep dermis insult ends up in scar formation. several modalities have been suggested as a treatment but a high rate of recurrence is reported in most of those interventions. high dose radiotherapy has been shown to be effective in reducing the recurrence rate. this study tried to determine the effectiveness of low dose rate radiotherapy followi...

HYPOTHESIS Ultrasound-guided vacuum-assisted biopsy (UGVAB) can serve as an efficient tool for the diagnosis and excision of breast fibroadenomas. DESIGN Patients with a clinically and radiographically suspected breast fibroadenoma were prospectively referred for UGVAB to confirm the diagnosis and to attempt to excise the lesion. PATIENTS Fifty-two female patients, aged 19 to 68 years, were...

Urachal anomalies are rare affections due to incomplete closure of urachus during foetal period. Colo-urachal-cutaneous fistula is an uncommon complication of urachal anomalies. Only three cases have been reported so far in the literature. Herein, we report a new case in a 51-year-old patient presenting with umbilical feculent discharge lasting for 4 weeks. Diagnosis was made by computed tomogr...

• The patient remains free of recurrence with normal facial nerve function Case BCCs generally present with recurrent drainage from a pit-like depression at the angle of the mandible. The internal opening of the sinus provides important information regarding the origin of a BCC (1). Complete surgical excision of the tract is critical since these tracts do not spontaneously regress and there is ...

A schwannoma is a benign soft tissue tumor composed of Schwann cells. Clinically, the tumor is slow-growing and usually asymptomatic, rarely developing neurological symptoms. We present a case of a 44-year-old female who was diagnosed with an incomplete high radial nerve palsy, showing a wrist drop and extension of fingers due to schwannoma on the radial nerve of the upper arm. The patient show...

Clinical Features of Cystic Nephroma Cystic nephroma often is found incidentally by radiological examinations for other conditions, but may present as a palpable mass in the flank. or with pain or hematuria. Rarely, cystic nephroma is bilateral. Nephrectomy and partial nephrectomy are curative but incomplete excision has been followed by recurrence. Sarcoma has arisen in cystic nephroma in eigh...