Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience

Hatch, Quinton; Marenco, Christopher W.; Lammers, Daniel; Morte, Kaitlin; Schlussel, Andrew T.; McNevin, Shane

doi:10.1016/j.amjsurg.2020.03.005

Cited by 9 publications

(11 citation statements)

References 10 publications

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“…Although Ortega et al (2014) reported the rate of seroma as 15% in their study on 74 patients who underwent BCL (12), this rate was between 5.1% and 6.5% in other studies (2,13,14). In our study, rate of seroma is very high.…”

Section: Discussioncontrasting

confidence: 63%

“…The low number cases studied makes this rate seem high. Dutkiewicz et al reported the superficial infection rates as 0% ( 16), but in literature, this rate ranges from 1% to 10% (2,9,(12)(13)(14)(15). Our superficial infection rate is at the upper limit of this average and it is high in our opinion.…”

Section: Discussionmentioning

confidence: 41%

“…In our clinic, BCL technique has been preferred for Tezel type 4 and type 5 cases. The BCL technique has undergone some modifications since it was first described, and its effectiveness is still debated (2,(11)(12)(13). Most of the people we applied BCL to, for Tezel type 4 and type 5 were men.…”

Section: Discussionmentioning

confidence: 99%

“…Sacrococcygeal pilonidal disease (SPD) is a common disease that mostly affects young men (1). Damage to the epidermis in the deep natal cleft (intergluteal sulcus) due to moisture, hypoxia, bacteria, and hair(s) are blamed factors in the etiology of SPD (2). The disease sometimes persists for years without symptoms or it sometimes manifests with an acute abscess.…”

Section: Introductionmentioning

confidence: 99%

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Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases

Tarim¹,

MUTLU²,

Derebey³

2022

J. Exp. Clin. Med.

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According to the Tezel classification, the surgical method to be applied for type 4 and type 5 sacrococcygeal pilonidal disease (SPD) patients is controversial. Our aim is to discuss the success of the Bascom Cleft Lift (BCL) technique in treating these patients. In the present study, patients who were operated on for primary or recurrent pilonidal sinus disease by the same surgeon (IAT) in a tertiary medical faculty hospital between January 2018 and January 2020 were retrospectively analyzed. Complication and recurrence rates after BCL were compared with the available literature. There were 10 patients who underwent BCL for SPD Tezel type 4 and type 5. The average age of the patients was 21 (16- 29) years and 9 (90%) of them were male. The mean follow-up time was 22 (11-26) months. The mean operation time was 42 (35-58) minutes. The duration of hospitalization was 2.4 (1-5) days. Although the first patients stayed in the hospital for a long time, the last three patients stayed for a day each. Seroma developed in 2 (20%) patients, superficial infection in 1 (10%) and recurrence in 1 (10%) patient. Recurrence developed only in the patient who was operated in the eigth row. No patient was reoperated. BCL is a successful technique for treating Tezel type 4 and type 5 SPD patients.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases

Tarim¹,

MUTLU²,

Derebey³

2022

J. Exp. Clin. Med.

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“…In our investigation, PSD recurred in 12 of 32 (37.5%) patients in the OW group and in three of 24 (12.5%) patients in the PC group. Hatch et al reported results of a series of 235 PSD patients treated by the Bascom cleft lift technique [ 32 ]. Despite a high rate (54%) of minor and major complications, they reported a favorable recurrence rate of 4.7% [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children

2020

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We aimed to compare the outcome of two different operative methods to correct pilonidal sinus disease (PSD) in children, i.e., excision and open wound care (OW) versus excision and primary transverse closure (PC) of the wound. In this retrospective, observational study, we extracted data from the medical records of 56 patients who underwent surgery for PSD at our institution between 1 January 2006 and 31 December 2016. To test whether the primary variable, i.e., rate of PSD recurrence, differed between the two surgical groups, a logistic regression model was fitted. Secondary explanatory variables were total length of stay (LOS) at the hospital, complications, sex and age of patients, seniority of the surgeon in charge, and volume of excised specimen. Overall, 32 (57%) children and young adults underwent OW, while 24 (43%) patients were treated by PC. Mean age at operation was 15.5 years in either group. PSD recurred in 12 of 32 (37.5%) children in the OW group and in 3 of 24 (12.5%) children in the PC group (ratio: 0.19, 95% confidence interval [95% CI] 0.03–1.07). Thus, treatment of primary PSD by PC proved superior with respect to PSD recurrence. Moreover, our study did not bring to light any high-grade complications in the PC group, and postoperative pain was minimal. Less invasive treatment approaches for chronic PSD are typically performed in an outpatient setting and offer reduced morbidity, low rates of PSD recurrence, and shortened periods of time to return to work or social activities. More radical operations of PSD should be reserved for recurrent PSD where less invasive approaches have failed several times.

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Role of Lasers in Pilonidal Sinus

Gupta¹

2022

Lasers in Proctology

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Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience

Cited by 9 publications

References 10 publications

Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases

Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases

Primary Transverse Closure Compared to Open Wound Treatment for Primary Pilonidal Sinus Disease in Children

Role of Lasers in Pilonidal Sinus

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