The American Journal of Surgery
Volume 197, Issue 2 , Pages 189-192 , February 2009

A prospective randomized controlled trial of simple Bascom's technique versus Bascom's cleft closure for the treatment of chronic pilonidal disease

  • Ian M. Nordon, B.M., M.R.C.S.

      Affiliations

    • Department of Colorectal Surgery, Queen Alexandra Hospital, Southwick Hill Rd., Cosham, Portsmouth, PO6 3LY, UK
    • Corresponding Author InformationCorresponding author. Tel.: +442392286400; fax: +442392286263
    • ,
  • Asha Senapati, Ph.D., F.R.C.S.

      Affiliations

    • Department of Colorectal Surgery, Queen Alexandra Hospital, Southwick Hill Rd., Cosham, Portsmouth, PO6 3LY, UK
    • ,
  • Neil P.J. Cripps, M.B., Ch.M., F.R.C.S.

      Affiliations

    • Department of Colorectal Surgery, St Richard's Hospital, Chichester, UK

Received 27 September 2007 ,Revised 2 January 2008

References 

  1. Akinci OF, Bozer M, Uzunkoy A, et al. Incidence and aetiological factors in pilonidal sinus amongst Turkish soldiers. Eur J Surg. 1999;165:339–342
  2. Karydakis GE. New approach to the problem of pilonidal sinus. Lancet. 1973;2:14155
  3. Buie LA. Jeep disease. South Med J. 1944;37:103–109
  4. Petersen S, Koch R, Stelzner S, et al. Primary closure techniques in chronic pilonidal sinus. Dis Colon Rectum. 2002;45:1458–1467
  5. Anyanwu AC, Williams A, Hossain S, et al. Karydakis operation for sacrococcygeal pilonidal sinus disease: experience in a district general hospital. Ann R Coll Surg Engl. 1998;80:197–199
  6. Bascom J. Pilonidal disease: long term results of follicle removal. Dis Colon Rectum. 1983;26:800–807
  7. Bascom J. Repeat pilonidal operations. Am J Surg. 1987;154:118–121
  8. Azab AS, Kamal MS, el Bassyoni F. The rationale for using the rhomboid fasciocutaneous transposition flap for the radical cure of pilonidal sinus. J Dermatol Surg Oncol. 1986;12:1295–1299
  9. Gupta PJ. A randomized study between excision and marsupialisation and radiofrequency sinus excision in sacro-coccygeal pilonidal disease. Curr Surg. 2004;61:307–312
  10. Naja MZ, Ziade MF, El Rajab . Sacrococcygeal local anesthesia versus general anaesthesia for pilonidal sinus surgery: a prospective randomized trial. Anaesthesia. 2003;58:1007–1011
  11. Senapati A, Cripps NP, Thompson MR. Bascom's operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg. 2000;87:1067–1070
  12. Chave HS, Streets CG, Thompson MR, et al. Complicated pilonidal disease: cleft closure using an asymmetric flap. Colorectal Dis. 2000;2:24
  13. Allen-Mersh G. Pilonidal sinus: finding the right track for treatment. Br J Surg. 1990;77:123–132
  14. Bascom J, Bascom T. Utility of the cleft lift procedure in refractory pilonidal sinus. Am J Surg. 2007;193:606–609

PII: S0002-9610(08)00343-7

doi: 10.1016/j.amjsurg.2008.01.020

The American Journal of Surgery
Volume 197, Issue 2 , Pages 189-192 , February 2009

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