Advances in Surgical Sciences

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Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study

Received: 29 July 2018    Accepted: 17 August 2018    Published: 25 September 2018
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Abstract

Background: Many options are available for treatment sacrococcygeal pilonidal sinus disease either surgical or medical, but surgery is preferred. There are many techniques for surgical treatment but there is controversy about the best technique. Until now there is no single procedure is superior in all aspects. The aim of this study was to evaluate modified Bascom Clift lift procedure in management of. Patients and methods: From April 2014 to July 2018, 150 patients with pilonidal sinus were treated with Clift lift procedure and followed. Data collected tabulated and analyzed included complications, recurrence, post-operative hospital stay, days-off work, postoperative aesthetic appearance and patient's satisfactions. Results: There were 150 patients, 129 male and 21 females with M:F ratio. Their ages ranges from 16 to 45 year, with mean age 22.55± 8.5 year. Fifteen patients (10%) had previous operation for pilonidal sinus (recurrent). After operation all patient were mobilized at first day, mean postoperative pain VAS score were about 2(1-3) and discharged from hospital at 2nd day and were returned to daily activities after mean 7 day (6-12 days), return to work at mean (12.5) days with good healing within 10 days, postoperative wound infection had occurred only in three patients (2%). Patients satisfaction score were very good. No recurrence was observed during follow up period. Conclusion: Modified Bascom natal cleft lift is associated with good outcome, it is simple procedure and easy to learn, with early mobilization, short hospital stay early return to daily activities and work, and good patients satisfaction and to somewhat accepted post-operative scar. More studies with larger group of patients are needed especially in recurrent cases to come to consensus.

DOI 10.11648/j.ass.20180602.12
Published in Advances in Surgical Sciences (Volume 6, Issue 2, December 2018)
Page(s) 50-55
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Modified Bascom Clift Lift, Pilonidal Sinus Disease, Sacrococcygeal

References
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Author Information
  • General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

  • General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

  • General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

  • General Surgery Department, Faculty of Medicine, Assuit University, Assiut, Egypt

  • General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

  • General Surgery Department, Faculty of Medicine, Helwan University, Helwan, Egypt

Cite This Article
  • APA Style

    Mohamed Abdelshafy Mohamed, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Mostafa Mohamoud Sayed, Hamdy M. Hussein, et al. (2018). Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study. Advances in Surgical Sciences, 6(2), 50-55. https://doi.org/10.11648/j.ass.20180602.12

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    ACS Style

    Mohamed Abdelshafy Mohamed; Abdallah Mohamed Taha; Mahmoud Abdelhameid; Mostafa Mohamoud Sayed; Hamdy M. Hussein, et al. Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study. Adv. Surg. Sci. 2018, 6(2), 50-55. doi: 10.11648/j.ass.20180602.12

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    AMA Style

    Mohamed Abdelshafy Mohamed, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Mostafa Mohamoud Sayed, Hamdy M. Hussein, et al. Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study. Adv Surg Sci. 2018;6(2):50-55. doi: 10.11648/j.ass.20180602.12

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  • @article{10.11648/j.ass.20180602.12,
      author = {Mohamed Abdelshafy Mohamed and Abdallah Mohamed Taha and Mahmoud Abdelhameid and Mostafa Mohamoud Sayed and Hamdy M. Hussein and Ayman Kamal},
      title = {Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study},
      journal = {Advances in Surgical Sciences},
      volume = {6},
      number = {2},
      pages = {50-55},
      doi = {10.11648/j.ass.20180602.12},
      url = {https://doi.org/10.11648/j.ass.20180602.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ass.20180602.12},
      abstract = {Background: Many options are available for treatment sacrococcygeal pilonidal sinus disease either surgical or medical, but surgery is preferred. There are many techniques for surgical treatment but there is controversy about the best technique. Until now there is no single procedure is superior in all aspects. The aim of this study was to evaluate modified Bascom Clift lift procedure in management of. Patients and methods: From April 2014 to July 2018, 150 patients with pilonidal sinus were treated with Clift lift procedure and followed. Data collected tabulated and analyzed included complications, recurrence, post-operative hospital stay, days-off work, postoperative aesthetic appearance and patient's satisfactions. Results: There were 150 patients, 129 male and 21 females with M:F ratio. Their ages ranges from 16 to 45 year, with mean age 22.55± 8.5 year. Fifteen patients (10%) had previous operation for pilonidal sinus (recurrent). After operation all patient were mobilized at first day, mean postoperative pain VAS score were about 2(1-3) and discharged from hospital at 2nd day and were returned to daily activities after mean 7 day (6-12 days), return to work at mean (12.5) days with good healing within 10 days, postoperative wound infection had occurred only in three patients (2%). Patients satisfaction score were very good. No recurrence was observed during follow up period. Conclusion: Modified Bascom natal cleft lift is associated with good outcome, it is simple procedure and easy to learn, with early mobilization, short hospital stay early return to daily activities and work, and good patients satisfaction and to somewhat accepted post-operative scar. More studies with larger group of patients are needed especially in recurrent cases to come to consensus.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Modified Bascom Cleft Lift Procedure for Management of Sacrococcygeal Pilonidal Sinus Disease: A Prospective Study
    AU  - Mohamed Abdelshafy Mohamed
    AU  - Abdallah Mohamed Taha
    AU  - Mahmoud Abdelhameid
    AU  - Mostafa Mohamoud Sayed
    AU  - Hamdy M. Hussein
    AU  - Ayman Kamal
    Y1  - 2018/09/25
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ass.20180602.12
    DO  - 10.11648/j.ass.20180602.12
    T2  - Advances in Surgical Sciences
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    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20180602.12
    AB  - Background: Many options are available for treatment sacrococcygeal pilonidal sinus disease either surgical or medical, but surgery is preferred. There are many techniques for surgical treatment but there is controversy about the best technique. Until now there is no single procedure is superior in all aspects. The aim of this study was to evaluate modified Bascom Clift lift procedure in management of. Patients and methods: From April 2014 to July 2018, 150 patients with pilonidal sinus were treated with Clift lift procedure and followed. Data collected tabulated and analyzed included complications, recurrence, post-operative hospital stay, days-off work, postoperative aesthetic appearance and patient's satisfactions. Results: There were 150 patients, 129 male and 21 females with M:F ratio. Their ages ranges from 16 to 45 year, with mean age 22.55± 8.5 year. Fifteen patients (10%) had previous operation for pilonidal sinus (recurrent). After operation all patient were mobilized at first day, mean postoperative pain VAS score were about 2(1-3) and discharged from hospital at 2nd day and were returned to daily activities after mean 7 day (6-12 days), return to work at mean (12.5) days with good healing within 10 days, postoperative wound infection had occurred only in three patients (2%). Patients satisfaction score were very good. No recurrence was observed during follow up period. Conclusion: Modified Bascom natal cleft lift is associated with good outcome, it is simple procedure and easy to learn, with early mobilization, short hospital stay early return to daily activities and work, and good patients satisfaction and to somewhat accepted post-operative scar. More studies with larger group of patients are needed especially in recurrent cases to come to consensus.
    VL  - 6
    IS  - 2
    ER  - 

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