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Related Concept Videos

Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Brain Abscess l: Introduction01:26

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Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Appendicitis01:19

Appendicitis

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Acne Infection

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Related Experiment Video

Updated: May 9, 2026

Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
11:49

Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct

Published on: January 22, 2010

Pilonidal sinus disease.

V de Parades1, D Bouchard, M Janier

  • 1Service de proctologie médico-chirurgicale, institut Léopold-Bellan, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France.

Journal of Visceral Surgery
|August 6, 2013
PubMed
Summary
This summary is machine-generated.

Pilonidal disease, a common condition affecting the sacro-coccygeal region, often requires surgical intervention. While various surgical techniques exist, consensus on the ideal method for treating this condition remains elusive.

Keywords:
ExcisionMidline sutureOff-midline closurePilonidal diseaseRhomboid flapTreatment

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Last Updated: May 9, 2026

Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
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Published on: January 22, 2010

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
07:43

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Published on: January 17, 2018

Area of Science:

  • Medical Sciences
  • Surgical Pathology

Background:

  • Pilonidal disease is a frequent, suppurative condition affecting the sacro-coccygeal region.
  • It predominantly impacts men between 15 and 30 years old, presenting acutely as an abscess or chronically with sinus discharge.

Purpose of the Study:

  • To review the diagnostic and treatment modalities for pilonidal disease.
  • To discuss the various surgical approaches and their associated outcomes.

Main Methods:

  • Clinical diagnosis is typically straightforward.
  • Surgical treatment is the mainstay, with ongoing debate regarding optimal techniques such as excision and wound closure methods.

Main Results:

  • Acute abscesses require evacuation, preferably with an off-midline incision.
  • While open wound healing (secondary intention) has low recurrence rates, it prolongs recovery and requires nursing care.
  • Primary closure techniques offer less restriction but may have higher recurrence rates, with asymmetric closures favored for larger excisions.

Conclusions:

  • There is no universal consensus on the ideal surgical technique for pilonidal disease.
  • Treatment choice involves balancing recurrence rates, healing time, and patient activity cessation.