Results of surgical treatment of pilonidal sinus in 50 patients operated by the Bascom 2 method – prospective study

Abstract

Introduction: Treatment of the pilonidal sinus, due to the various surgery method, remains the current topic of discussion during surgeon meetings around the world. The newest methods of treatment consist in the excision and simultaneous closure of the wound with the cleft lift techniques. One of such methods is the Bascom 2 technique widely used in the world and less popular in Poland. Aim of the study: To evaluate the results of treatment of pilonidal cysts using the Bascom 2 method performed by one operator. Material and method: 50 patients (40 men, 10 women), Avg. 30.6 years of age, All patients treated with the Bascom 2 method in one surgical ward by one operator (resident during specialization training) with the use of a uniform surgical care for all operational protocols. The following were assessed: BMI, average hospitalization time, pain, post-operative complications, wound healing time, patient's quality of life, and the percentage of recurrences after surgery. The follow-up period ranged from 12 to 52 months. Results: Average BMI 27.13 kg / m2. Avg. time of hospitalization 2.95 days. Postoperative pain in the first 24 hours was on average 4.55 points. (+/- 2.24 points); on the 10th day of. 2.04 points (+/- 1.58 points); in the 30th day of the 0.76 points (+/- 1.1 points). Pain after healing 0.14 points (+/- 0.40 points). Postoperative complications occurred in 28.57% of patients (partial wound dehiscence (16.32%), serum leak (10.2%), hematoma (6.12%), total wound dehiscence (0%), wound infection (0%). The average time of full healing was 2.94 weeks. The recurrence occurred in one patient (2.04%). Conclusions: Bascom 2 method is characterized by low recurrence rate and short wound healing time. It is a safe, effective and patient-accepted treatment method. Statistically significantly improves the patient's quality of life one year after surgery in terms of both physical and mental health.

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

“…On the contrary, in a prospective randomized study by (14), none of the 61 patients who underwent BCL developed recurrence (14). In literature, this rate is seen to be between 1.3% and 6% (9,(12)(13)(14)(15)(16). In our results, it is seen that recurrence developed in one case (10%).…”

“…We think that our experience will improve as the number of patients we apply BCL increases and our operation time will shorten a little. In literature, there were reported values between 1.28 days and 2.95 days for hospital stay after BCL (12)(13)(14)(15)(16). In our results, the duration of hospital stay was found to be 2.4 (1-5) days.…”

“…We hope that our complication and recurrence rates will decrease once our number of patients increases and our learning curve process is completed. There are many studies in literature evaluating the results of the BCL method and reporting success results (9,(12)(13)(14)(15)(16). Despite these studies, the BCL technique has not yet become a standard technique by surgeons.…”