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Related Experiment Video

Updated: Jul 4, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

[Bascom's operation for pilonidal fistula].

Claus Anders Bertelsen1, Lars Nannestad Jørgensen

  • 1Bispebjerg Hospital, Kirurgisk Afdeling K. info@pilonidal.dk

Ugeskrift for Laeger
|June 24, 2008
PubMed
Summary

Bascom's cleft-lift operation for pilonidal fistula significantly reduces recurrence and complications. This fast-track surgical approach offers improved outcomes compared to traditional excision methods.

Area of Science:

  • Surgical Innovation
  • Colorectal Surgery
  • Wound Healing Research

Background:

  • Pilonidal fistula treatment often leads to poor wound healing and high recurrence rates, with up to 69% experiencing impaired healing and 10-29% facing recurrence after wide excision.
  • Traditional surgical methods for pilonidal fistula carry significant risks of complications and re-occurrence, necessitating exploration of alternative procedures.

Purpose of the Study:

  • To evaluate the efficacy of Bascom's cleft-lift operation in managing pilonidal fistulas.
  • To assess the impact of the cleft-lift operation on postoperative complications, wound healing, and recurrence rates.

Main Methods:

  • A cohort of 59 patients (53 male) with pilonidal cysts underwent Bascom's cleft-lift operation between September 2004 and January 2007.
  • Patient indications included recurrent cysts (17), impaired wound healing post-surgery (7), and large cysts (35), with a median age of 27.7 years.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

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Published on: March 24, 2023

Main Results:

  • The majority of patients (80%) were discharged within 24 hours, indicating a fast-track surgical approach.
  • Postoperative complications were observed in 47% of patients, with 7% requiring reoperation for infection. Minor wound defects occurred in 44%, healing spontaneously in most cases within 3 months.
  • A low recurrence rate of 7% (3 out of 39 patients) was observed during a median follow-up of 19 months.

Conclusions:

  • Bascom's cleft-lift operation appears to be a safe and effective procedure for pilonidal fistulas, offering reduced pain, complications, and recurrence rates.
  • The procedure's simplicity and suitability for fast-track surgery make it a favorable alternative to simple excision.
  • Further research should focus on long-term outcomes and comparative studies with other surgical techniques.