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April 2016 -
Volume 14, Issue 3
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From the Editor

 
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Original Contribution/Clinical Investigation





 

 





 

 

<-- Saudi Arabia -->
How Sensitive is Urine Dipstick Analysis in Predicting Urinary Tract Infections in Symptomatic Adults in a Primary Care Setting
[pdf version]
Mokhtar Shatla, Abdulrahman Almisfer, Shamsuldin Zawawi, Baraah Damanhouri, Fahad Alharthi

<-- Turkey -->
Accelerated atherosclerosis and digital clubbing in sickle cell diseases
[pdf version]
Mehmet Rami Helvaci, Mustafa Sahan, Agit Sulhan, Abdullah Fatih Acik, Adil Ocak, Semih Salaz,
Lesley Pocock

<-- UAE/Saudi Arabia -->
Assessment of home glucose monitoring system in primary health care system; where are we?
[pdf version]
Almoutaz Alkhier Ahmed, Amal Nouri

<--Lebanon -->
Cobalamin Injection: Is it Useful in Lumbosacral Diseases?
[pdf version]
Abdulrazak Abyad

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Case Report



<-- Egypt -->
Rota virus vaccine- induced intussusception: A case report study
[pdf version]
Mohammad M. Alkot, Hossam S Abdelbaki, Mohammad S. Al-Fageah, Ebtesam A. Al-Sulami

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Continuing Medical Education



<-- Australia -->
Surgical Skills - Pilonidal Sinus
[pdf version]
Maurice Brygel

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Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Lesley Pocock
medi+WORLD International
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AUSTRALIA
Phone: +61 (3) 9005 9847
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Email
: lesleypocock@mediworld.com.au
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

April 2016 - Volume 14, Issue 3

Office Surgery Tips - Pilonidal Sinus


Maurice Brygel
Royal Australian College of Surgeons (RACS)


Correspondence:
Maurice Brygel
Email: mbrygel@netspace.net.au

INTRODUCTION

A pilonidal abscess can be drained in the office but the formal excision should be in the operating theatre

Surgical technique

Abscess pointing inferiorly


Local anaesthetic inserted into pilonidal abscess superficially


Incision into the pilonidal abscess at site of maximum fluctuation. As close to the midline as practical.


Pus expressed and drained


Probe placed into the pit to estimate the extent of the problem


Abscess cavity seen


Pack in place


 

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