Exposure in abdominal surgery.
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Biomedical subjects
Publications and source records attributed to R L ROSS.
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Recurrence or persistence of varicose veins after treatment may be charged to incomplete original evaluation of the patients' venous insufficiency and to therapy that was not adequate because not planned on the basis of the particular kind or degree of venous incompetence in each individual case. The chief factors in the avoidance of failures of treatment are the eradication of all sites of incompetence and of all secondary incompetent venous communicating pathways; and careful follow-up examination and additional treatment when necessary.
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Evaluation ten years following radical excision and primary closure of recurrent pilonidal cysts led to the conclusion that the method of preoperative and postoperative care and the surgical technique employed gave satisfactory results. In 50 patients operated upon, the duration of symptoms varied from ten days to six years. Primary healing was achieved in all but one case in which there was slight skin overlapping. Thirty-three of the 50 patients were located for appraisal at the end of ten years. Three had had recurrences. The procedure involved eradication of acute infection preoperatively, wide, en bloc radical excision, with primary closure reattaching flaps centrally to the presacral fascia, and drainage of the depths of the wound.
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