S-plasty for pilonidal disease: modified primary closure reducing tension.

Purpose: S-plasty for pilonidal disease reduces the tension on the midline by distributing it diagonally and flattening the natal cleft. The aim of this study was to evaluate the outcomes of S-plasty on simple midline primary closure and the clinical features of pilonidal patients in a low incidence country.

Methods: S-plasty was applied on 17 patients from July 2008 to October 2010.

Risk factors affecting pancreatic fistulas after pancreaticoduodenectomy.

Aim: To analyze the risk factors of pancreatic leakage after pancreaticoduodenectomy.

Methods: We retrospectively reviewed 172 consecutive patients who had undergone pancreatico-duodenectomy at Inha University Hospital between April 1996 and March 2006. We analyzed the pancreatic fistula rate according to the clinical characteristics, the pathologic and laboratory findings, and the anastomotic methods.