Laser Ablation of Pilonidal Sinus Disease: A Pilot Study.

Background: Pilonidal disease is classically treated with wide local excision, although a number of minimally invasive approaches are currently under investigation. We aimed to determine the safety and feasibility of laser ablation of pilonidal sinus disease.

Impact Of Innovation: Laser ablation provides a minimally invasive means of obliterating pilonidal sinus tracts without a need for excessive tract dilation.

Complicated appendicitis: Immediate operation or trial of nonoperative management?

Background: The optimal treatment for complicated appendicitis remains controversial. We sought to compare clinical outcomes of patients with complicated appendicitis treated with an immediate operation or a trial of nonoperative management.

Methods: Adult patients (≥18 years) with complicated appendicitis were included.