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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Videos

Practical Management of Pilonidal Disease.

Casey T Kraft1,2, Ibrahim Khansa1,2, Jeffrey E Janis1,2

  • 1Ohio State University Wexner Medical Center, Columbus, Ohio.

Plastic and Reconstructive Surgery. Global Open
|January 11, 2021
PubMed
Summary

Pilonidal disease management has many options, making the ideal treatment unclear. This review covers common methods and suggests a preferred technique to optimize patient outcomes and minimize complications.

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Area of Science:

  • Surgical techniques
  • Pilonidal disease management
  • Clinical outcomes

Background:

  • Pilonidal disease is a prevalent global condition.
  • Current management strategies vary widely, from secondary intention healing to flap closure.
  • The introduction of new techniques has created ambiguity regarding the optimal treatment approach.

Purpose of the Study:

  • To review common surgical management options for pilonidal disease.
  • To present the senior author's preferred technique for treating pilonidal disease.
  • To guide surgeons in selecting optimal procedures for individual patients.

Main Methods:

  • Literature review of existing pilonidal disease treatments.
  • Discussion of various surgical modalities.
  • Presentation of a preferred surgical technique.

Main Results:

  • Multiple treatment options exist for pilonidal disease, each with potential benefits and drawbacks.
  • The optimal surgical approach remains debated due to evolving techniques.
  • A preferred technique is highlighted to aid in decision-making.

Conclusions:

  • Effective management of pilonidal disease requires careful patient selection.
  • Minimizing morbidity and patient care burden are key goals in treatment.
  • Further research may clarify the ideal surgical strategy for pilonidal disease recurrence and complications.