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William B, Khan A, Mellor S, Naseer M, Abraham S. 166 ReAudit - Review of Elective Procedures for Pilonidal Disease in a Single Centre, Jan 2020 – Aug 2021. Br J Surg 2022. [DOI: 10.1093/bjs/znac039.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Review of elective procedures for pilonidal disease in a single centre, Jan 2020 – Aug 2021
Introduction
Pilonidal disease continues to be managed with a variety of surgical techniques. We review results with Bascom 2 operation comparing to other practices at our institution.
Method
All elective procedures for pilonidal disease reviewed from Jan 2020 to August 2021. Age, gender, previous emergency and elective procedures for pilonidal disease, follow-up, recurrence and dehiscence rates, all-cause morbidity was examined retrospectively.
Results
In the study period there were 44 procedures. Average age was 26.4 years (range 16–44). Male to female ratio was 2:1. Procedure techniques performed included modified Bascoms flap (20), excision and primary closure (20), excision and packing (3) and Rhomboid flap (1). The number of previous emergency and elective procedures in the cohort were 18 and 3 respectively. In 24 (55%) procedures there was documented follow up, at a mean time of 49 days (median 56 days, range 3–84). Overall modified Bascom dehiscence (partial / full) dehiscence and recurrence rates were 10% and 5% respectively. Overall median number of bed related days length of stay was 0 days (range 0–3 days).
Conclusions
The modified Bascoms procedure is both technically simple and reproducible and offers comparatively good dehiscence and recurrence rates relative to other pilonidal sinus procedures.
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Affiliation(s)
- B. William
- Sandwell And West Birmingham Hospitals, NHS Trust, West Bromwich, United Kingdom
| | - A.E. Khan
- Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, United Kingdom
| | - S. Mellor
- Sandwell And West Birmingham Hospitals, NHS Trust, West Bromwich, United Kingdom
| | - M. Naseer
- Sandwell And West Birmingham Hospitals, NHS Trust, West Bromwich, United Kingdom
| | - S. Abraham
- Sandwell And West Birmingham Hospitals, NHS Trust, West Bromwich, United Kingdom
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Hwang S, Johnson A, Fabbro S, Hastings J, Haverkos B, Chung C, Porcu P, William B. Topical imiquimod monotherapy for indolent primary cutaneous B-cell lymphomas: a single-institution experience. Br J Dermatol 2020; 183:386-387. [PMID: 32078154 DOI: 10.1111/bjd.18961] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S Hwang
- Division of Hematology, Ohio State University, Columbus, OH, USA
| | - A Johnson
- Division of Hematology, Ohio State University, Columbus, OH, USA
| | - S Fabbro
- Division of Dermatology, Department of Medicine, Ohio State University, Columbus, OH, USA
| | - J Hastings
- Division of Dermatology, Department of Medicine, Ohio State University, Columbus, OH, USA
| | - B Haverkos
- Blood Cancer and BMT Program, University of Colorado School of Medicine, Aurora, CO, USA
| | - C Chung
- Division of Dermatology, Department of Medicine, Ohio State University, Columbus, OH, USA
| | - P Porcu
- Division of Hematologic Malignancies and Hematopoietic Stem Cell Transplantation, Department of Medical Oncology, Sidney Kimmel Cancer Center at Jefferson, Thomas Jefferson University, Philadelphia, PA, USA
| | - B William
- Division of Hematology, Ohio State University, Columbus, OH, USA
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Maakaron J, Huang Y, Brammer J, Chung C, William B. A phase II trial of brentuximab vedotin (BV) and lenalidomide (Len) in relapsed and refractory (r/r) cutaneous (CTCL) and peripheral (PTCL) T-cell lymphomas. Eur J Cancer 2019. [DOI: 10.1016/s0959-8049(19)30587-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bagot M, Marie-Cardine A, Ram-Wolff C, Porcu P, Khodadoust M, William B, Thonnart N, Vermeer M, Whittaker S, Duvic M, Bensussan A, Bonnafous C, Sicard H, Paiva C, Battistella M, Kim Y. Immunothérapie ciblée des lymphomes T cutanés par IPH4102, un anticorps monoclonal « first-in-class » dirigé contre la molécule KIR3DL2 : étude de phase I internationale multicentrique. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Querfeld C, Foss F, Porcu P, Kim Y, Pacheco T, Haverkos B, Halwani A, DeSimone J, William B, Pinter-Brown L, Seto A, Ruckman J, Landry M, Jackson A, Dickinson B, Sanseverino M, Rodman D, Rubin P, Marshall W. PH 1 TRIAL EVALUATING MRG-106, A MICRORNA-155 INHIBITOR, ADMINISTERED BY INTRATUMORAL, SUBCUTANEOUS, OR INTRAVENOUS DELIVERY IN CUTANEOUS T-CELL LYMPHOMA (CTCL) PATIENTS. Hematol Oncol 2017. [DOI: 10.1002/hon.2438_149] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | - F.M. Foss
- Hematology and Bone Marrow Transplantation; Yale Cancer Center; Woodbridge USA
| | - P. Porcu
- Hematologic Malignancies and Hematopoietic Stem Cell Transplantation; Sidney Kimmel Cancer Center at Jefferson; Philadelphia USA
| | - Y.H. Kim
- Dermatology; Stanford Cancer Institute; Stanford USA
| | - T. Pacheco
- Dermatology; University of Colorado School of Medicine; Aurora USA
| | - B. Haverkos
- Blood Cancer & BMT; University of Colorado School of Medicine; Aurora USA
| | - A.S. Halwani
- Hematology and Hematologic Malignancies; Huntsman Cancer Institute at the University of Utah; Salt Lake City USA
| | - J. DeSimone
- Melanoma and Skin Cancer Center; Inova Schar Cancer Institute; Fairfax USA
| | - B. William
- Hematology; The Ohio State University Comprehensive Cancer Center; Columbus USA
| | - L. Pinter-Brown
- Hematology/Oncology; University of California; Irvine Orange USA
| | - A. Seto
- R&D, miRagen Therapeutics; Boulder USA
| | | | - M. Landry
- R&D, miRagen Therapeutics; Boulder USA
| | | | | | | | - D. Rodman
- R&D, miRagen Therapeutics; Boulder USA
| | - P. Rubin
- R&D, miRagen Therapeutics; Boulder USA
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Bandodkar A, William B, Kannan T, Prasad A, Bharathidasan M, Jayaprakash R, George R. Intra-articular Injection of Ascorbic Acid and Dexamethasone for Management of Osteoarthritis in Dogs. ACTA ACUST UNITED AC 2016. [DOI: 10.9734/arrb/2016/23345] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Al-Hadi HA, William B, Fox KA. Serum level of heart-type Fatty Acid-binding protein in patients with chronic renal failure. Sultan Qaboos Univ Med J 2009; 9:311-314. [PMID: 21509315 PMCID: PMC3074794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2008] [Revised: 11/12/2008] [Accepted: 05/10/2009] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVES Heart-type fatty acid binding-protein (H-FABP) has been reported to be a potential novel biochemical marker for the early diagnosis of acute myocardial infarction (AMI). The effect of kidney diseases on the renal handling of H-FABP has not yet been fully evaluated. The aim of this study was to compare the effect of renal failure on the level of H-FABP and cardiac troponin (cTnT) concentrations. METHODS The study population was a small group of 16 patients with renal failure (6 females, 10 males aged 30-70 years) on routine regular haemodialysis or peritoneal dialysis. RESULTS The mean ±SD of serum urea and creatinine concentration in this group of patients was 19 ±9.6 mmol/L and 531.3 ±231.2 mmol/L respectively. H-FABP was increased in all 16 patients (81 ±53.3μg/L). The cTnT was increased ≥ 0.1μg/L in 8 patients (50%), ≥ 0.2μg/L in 5 patients (31.3%), and ≥ 0.3μg/L in 1 patient (6%). CONCLUSION The diagnostic efficiency of H-FABP and cTnT for the diagnosis of AMI in the presence of renal failure may be limited and such patients may have high levels even in the absence of AMI.
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Affiliation(s)
- Hafidh A Al-Hadi
- Department of Medicine, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman
| | - Brent William
- Department of Medical Sciences, Faculty of Medicine, Edinburgh University, UK
| | - Keith A Fox
- University of Edinburgh, Cardiovascular Research Unit, Royal Infirmary of Edinburgh, UK
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Al-Hadi HA, William B, Fox KA. The Impact of Chronic Liver Diseases on the Level of Heart-Type Fatty Acid-Binding Protein (H-FABP) Concentrations. Sultan Qaboos Univ Med J 2009; 9:153-156. [PMID: 21509292 PMCID: PMC3074778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2008] [Revised: 03/21/2009] [Accepted: 05/13/2009] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVES Heart-type fatty acid binding-protein (H-FABP) has been reported to be a potential novel biochemical marker for the early diagnosis of acute myocardial infarction (AMI). The presence of H-FABP in the liver has not been reported. The aim of this study was to compare the effect of chronic liver diseases on the level of H-FABP concentrations. METHODS The effects of chronic liver diseases including infective hepatitis and cirrhosis on the concentration of H-FABP was studied in a small group of patients (n=10, mean age ±SD = 58.33 ± 7.19 years). The serum concentrations of the following markers were measured: H-FABP, alanine aminotransferase (ALT) and bilirubin and compared with a reference control group (20 healthy blood donors, mean age ±SD = 63.8 ±8.01). RESULTS The serum concentrations of these markers in the control group as compared to patients with chronic liver disease were as follows (mean ± SD): H-FABP = 6.86 ±2.21 μg/L versus 6.44 ±3.06 μg/L (p = NS); ALT = 29.8 ±14.7 U/L versus ALT = 198.67 ±122.89 U/L (p < 0.0005) and bilirubin = 9.6 ±4.0 μmol/L versus bilirubin = 100.89 ±87.85 μmol/L (p < 0.0001). CONCLUSION These data illustrate clearly that there is no significant interference with the normal concentration of H-FABP in the presence of liver diseases, despite the significant elevation of liver enzymes and proteins. These data may support a useful role of H-FABP for the diagnosis of myocardial injury in patients with liver diseases.
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Affiliation(s)
- Hafidh A Al-Hadi
- Department of Medicine, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman
| | - Brent William
- Department of Medical Sciences, Faculty of Medicine, University of Edinburgh, UK
| | - Keith A Fox
- University of Edinburgh, Cardiovascular Research Unit, Royal Infirmary of Edinburgh, UK
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Abstract
The health beliefs of people suffering from mental health problems are important. Such beliefs have been identified as key factors in models of health and illness behaviour, and may therefore indirectly influence clinical outcome. In addition, the increasing move towards patient-centred health care suggests that such beliefs need to be identified if a patient's perspective of his or her illness is to be addressed in the care process. Past research on health beliefs surrounding depression have concentrated on identifying "explanatory models" among the general community or among people who already have an established diagnosis of depression. This paper describes the content and status of health beliefs among people who are in the process of receiving a diagnosis. In-depth interviews were carried out with new referrals to a community mental health team (CMHT). Individuals expressed a variety of perceived causes throughout the interview. Beliefs were therefore characterised as changeable. It is argued that the concept of an "explanatory model" is too fixed to fully convey the fluid status of beliefs among this patient group. The concept of an "exploratory map" is suggested as a replacement. Such maps outline the avenues of thought which individuals explored when attempting to understand why they were currently experiencing particular psychological problems. The strength and persistence of beliefs is discussed in relation to both theoretical and clinical implications.
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Affiliation(s)
- B William
- Department of Epidemiology and Public Health, Ninewells Hospital and Medical School, Dundee, UK.
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