Modified Bascom's Asymmetric Midgluteal Cleft Closure Technique for Recurrent Pilonidal Disease

Abstract

The suggested modified Bascom technique is an attractive, safe, easily performed operation with minimal morbidity and can be reliably used as a second-line surgical option for recurrent pilonidal disease.

Modification of the Bascom cleft lift procedure for chronic pilonidal sinus: results in 141 patients

“…Theodoropoulos et al . , who excised the sinus tissue in patients with recurrent disease, also found a similar wound complication rate to the present study.…”

A comparison of the cleft lift procedure vs wide excision and packing for the treatment of pilonidal disease in adolescents

“…Studies have shown it to be excellent in refractory cases of pilonidal disease [5,12]. There is a growing community of adult general and colorectal surgeons who believe that the cleft lift procedure is one of the preferred techniques in treating moderate and severe chronic and refractory pilonidal disease [13][14][15][16].…”

Sinus Excision and Primary Closure Versus Laying Open in Pilonidal Disease: A Prospective Randomized Trial

“…Techniques such as the Bascom flap procedure and the elliptical rotation flap have been developed, using wound closure away from the midline without tension. 13,14,17,27 It is shown that these types of approaches result in faster healing time and a reduced recurrence rate compared with open healing. 16 The background is an assumption that pilonidal disease primarily is a superficial skin disease that secondarily involves the deeper SC tissue.…”