Pilonidal disease in a military population: how far have we really come?

Background: Pilonidal disease (PD) has a long connection with military personnel, even nicknamed "jeep disease" during World War II. The aim of this study was to identify factors associated with recurrence and complications after surgery in a military population.

Methods: A retrospective cohort analysis of operative therapy for PD at a single institution from 2005 to 2011 was conducted.

Application of preoperative brain natriuretic peptide levels in clinical practice.

The purpose of the study was to determine the clinical utility and practical application of preoperative brain natriuretic peptide (BNP) levels. This is a retrospective review of operating room procedures from November 2006 to March 2009. Preoperative history and physical were reviewed and BNP laboratory levels obtained prior to all procedures and the postoperative course reviewed for incidence of 30-day cardiac complications.

Hemostasis in a noncompressible hemorrhage model: an end-user evaluation of hemostatic agents in a proximal arterial injury.

Objective: 1. Evaluate hemostatic bandages by the end user using subjective and objective criteria. 2.

Incidence of complications following colectomy with mesenteric closure versus no mesenteric closure: does it really matter?

Background: There remains strong opinion but very little data to support the way that the resultant mesenteric defect is handled following colectomy. Despite case reports of internal hernias and subsequent bowel obstruction requiring operative intervention, no larger series have evaluated this question.

Materials And Methods: Retrospective review of elective right and left/sigmoid colectomies during the period from 2004 to 2007.

Limb salvage after delayed diagnosis for blunt traumatic infrapopliteal occlusion.

Infrapopliteal occlusion is uncommon after blunt trauma, and limb salvage after delayed diagnosis is even rarer. We present the case of a 56-year-old man who had complex lower leg orthopedic fractures along with a reportedly normal pulse examination with an 11-day diagnostic delay of limb-threatening ischemia requiring distal revascularization. This case illustrates an incidence of delayed infrapopliteal three-vessel occlusion with successful revascularization and subsequent endovascular management to maintain patency.