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

Abstract

The surgical method to be applied for type 4 and type 5 patients in sacrococcygeal pilonidal disease (SPD) according to the Tezel classification is controversial. Our aim is to discuss the success of the Bascom Cleft Lift (BCL) technique in treating these patients. In the study, patients who were operated 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 literature. There were 10 patients who underwent BCL for SPD Tezel type 4 and type 5. Average age was 21 (16-29) years and 9 (90%) were male. 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 eighth row. No patient was reoperated. BCL technique is a successful technique for Tezel type 4 and type 5 SPD patients.

Keywords

• Sacrococcygeal pilonidal disease
• Bascom Cleft Lift
• Recurrence

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