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Year 2022, Volume: 39 Issue: 2, 424 - 428, 18.03.2022

Abstract

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Hiçbir maddi destek alınmamıştır.

References

  • Favuzza J, Brand M, Francescatti A, Orkin B. Cleft lift procedure for pilonidal disease: technique and perioperative management. Tech Coloproctol. 2015;19(8):477-82.
  • Hatch Q, Marenco C, Lammers D, Morte K, Schlussel A, McNevin S. Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience. Am J Surg. 2020;219(5):737-40.
  • Petersen S, Aumann G, Kramer A, Doll D, Sailer M, Hellmich G. Short-term results of Karydakis flap for pilonidal sinus disease. Tech Coloproctol. 2007;11(3):235-40.
  • Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007;9(6):575-6.
  • Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg. 2002;137(10):1146-50; discussion 51.
  • Pappas AF, Christodoulou DK. A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients. Colorectal Dis. 2018;20(8):O207-O14.
  • Dessily M, Charara F, Ralea S, Alle JL. Pilonidal sinus destruction with a radial laser probe: technique and first Belgian experience. Acta Chir Belg. 2017;117(3):164-8.
  • Meinero P, La Torre M, Lisi G, Stazi A, Carbone A, Regusci L, et al. Endoscopic pilonidal sinus treatment (EPSiT) in recurrent pilonidal disease: a prospective international multicenter study. Int J Colorectal Dis. 2019;34(4):741-6.
  • Tezel E, Bostanci H, Anadol AZ, Kurukahvecioglu O. Cleft lift procedure for sacrococcygeal pilonidal disease. Dis Colon Rectum. 2009;52(1):135-9.
  • Kuckelman JP. Pilonidal Disease: Management and Definitive Treatment. Dis Colon Rectum. 2018;61(7):775-7. Branagan G, Thompson MR, Senapati A. Cleft closure for the treatment of unhealed perineal sinus. Colorectal Dis. 2006;8(4):314-7.
  • Ortega PM, Baixauli J, Arredondo J, Bellver M, Sanchez-Justicia C, Ocana S, et al. Is the cleft lift procedure for non-acute sacrococcygeal pilonidal disease a definitive treatment? Long-term outcomes in 74 patients. Surg Today. 2014;44(12):2318-23.
  • Koca YS, Yildiz I, Okur SK, Saricik B, Ugur M, Bulbul MT, et al. Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study. Med Sci Monit. 2018;24:711-7.
  • Guner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J Surg. 2013;37(9):2074-80.
  • Imam A, Khalayleh H, Pines G, Khoury D, Mavor E, Pelta A. Pilonidal Sinus Management: Bascom Flap Versus Pilonidal Pits Excision, a Single Center Experience. Ann Coloproctol. 2020.
  • Dutkiewicz P, Ciesielski P, Kolodziejczak M. Results of surgical treatment of pilonidal sinus in 50 patients operated using Bascom II procedure - prospective study. Pol Przegl Chir. 2019;91(5):21-6.
  • Umesh V, Sussman RH, Smith J, Whyte C. Long term outcome of the Bascom cleft lift procedure for adolescent pilonidal sinus. J Pediatr Surg. 2018;53(2):295-7.

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

Year 2022, Volume: 39 Issue: 2, 424 - 428, 18.03.2022

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.

References

  • Favuzza J, Brand M, Francescatti A, Orkin B. Cleft lift procedure for pilonidal disease: technique and perioperative management. Tech Coloproctol. 2015;19(8):477-82.
  • Hatch Q, Marenco C, Lammers D, Morte K, Schlussel A, McNevin S. Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience. Am J Surg. 2020;219(5):737-40.
  • Petersen S, Aumann G, Kramer A, Doll D, Sailer M, Hellmich G. Short-term results of Karydakis flap for pilonidal sinus disease. Tech Coloproctol. 2007;11(3):235-40.
  • Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007;9(6):575-6.
  • Bascom J, Bascom T. Failed pilonidal surgery: new paradigm and new operation leading to cures. Arch Surg. 2002;137(10):1146-50; discussion 51.
  • Pappas AF, Christodoulou DK. A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients. Colorectal Dis. 2018;20(8):O207-O14.
  • Dessily M, Charara F, Ralea S, Alle JL. Pilonidal sinus destruction with a radial laser probe: technique and first Belgian experience. Acta Chir Belg. 2017;117(3):164-8.
  • Meinero P, La Torre M, Lisi G, Stazi A, Carbone A, Regusci L, et al. Endoscopic pilonidal sinus treatment (EPSiT) in recurrent pilonidal disease: a prospective international multicenter study. Int J Colorectal Dis. 2019;34(4):741-6.
  • Tezel E, Bostanci H, Anadol AZ, Kurukahvecioglu O. Cleft lift procedure for sacrococcygeal pilonidal disease. Dis Colon Rectum. 2009;52(1):135-9.
  • Kuckelman JP. Pilonidal Disease: Management and Definitive Treatment. Dis Colon Rectum. 2018;61(7):775-7. Branagan G, Thompson MR, Senapati A. Cleft closure for the treatment of unhealed perineal sinus. Colorectal Dis. 2006;8(4):314-7.
  • Ortega PM, Baixauli J, Arredondo J, Bellver M, Sanchez-Justicia C, Ocana S, et al. Is the cleft lift procedure for non-acute sacrococcygeal pilonidal disease a definitive treatment? Long-term outcomes in 74 patients. Surg Today. 2014;44(12):2318-23.
  • Koca YS, Yildiz I, Okur SK, Saricik B, Ugur M, Bulbul MT, et al. Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study. Med Sci Monit. 2018;24:711-7.
  • Guner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial. World J Surg. 2013;37(9):2074-80.
  • Imam A, Khalayleh H, Pines G, Khoury D, Mavor E, Pelta A. Pilonidal Sinus Management: Bascom Flap Versus Pilonidal Pits Excision, a Single Center Experience. Ann Coloproctol. 2020.
  • Dutkiewicz P, Ciesielski P, Kolodziejczak M. Results of surgical treatment of pilonidal sinus in 50 patients operated using Bascom II procedure - prospective study. Pol Przegl Chir. 2019;91(5):21-6.
  • Umesh V, Sussman RH, Smith J, Whyte C. Long term outcome of the Bascom cleft lift procedure for adolescent pilonidal sinus. J Pediatr Surg. 2018;53(2):295-7.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Ismail Tarım 0000-0002-6203-2644

Vahit Mutlu 0000-0002-2731-6799

Murat Derebey 0000-0002-0654-846X

Early Pub Date March 18, 2022
Publication Date March 18, 2022
Submission Date May 2, 2021
Acceptance Date August 31, 2021
Published in Issue Year 2022 Volume: 39 Issue: 2

Cite

APA Tarım, I., Mutlu, V., & Derebey, M. (2022). Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases. Journal of Experimental and Clinical Medicine, 39(2), 424-428.
AMA Tarım I, Mutlu V, Derebey M. Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases. J. Exp. Clin. Med. March 2022;39(2):424-428.
Chicago Tarım, Ismail, Vahit Mutlu, and Murat Derebey. “Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases”. Journal of Experimental and Clinical Medicine 39, no. 2 (March 2022): 424-28.
EndNote Tarım I, Mutlu V, Derebey M (March 1, 2022) Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases. Journal of Experimental and Clinical Medicine 39 2 424–428.
IEEE I. Tarım, V. Mutlu, and M. Derebey, “Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases”, J. Exp. Clin. Med., vol. 39, no. 2, pp. 424–428, 2022.
ISNAD Tarım, Ismail et al. “Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases”. Journal of Experimental and Clinical Medicine 39/2 (March 2022), 424-428.
JAMA Tarım I, Mutlu V, Derebey M. Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases. J. Exp. Clin. Med. 2022;39:424–428.
MLA Tarım, Ismail et al. “Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases”. Journal of Experimental and Clinical Medicine, vol. 39, no. 2, 2022, pp. 424-8.
Vancouver Tarım I, Mutlu V, Derebey M. Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases. J. Exp. Clin. Med. 2022;39(2):424-8.