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Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial
Ali Guner1, Aydin Boz, Omer Faruk Ozkan
1Department of General Surgery, Trabzon Numune Training and Research Hospital, Maras Str., 61040 Trabzon, Turkey. draliguner@yahoo.com
World Journal of Surgery
|June 5, 2013
Summary
The Bascom cleft lift procedure offers a shorter operation time and improved early quality of life compared to the Limberg flap for pilonidal sinus disease treatment. Both methods show good early results, but Bascom cleft lift demonstrates superior patient outcomes.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Patient Outcomes Research
Background:
- Pilonidal sinus disease surgical treatment remains debated.
- Tension-free surgical techniques are considered optimal.
- Evaluating novel surgical approaches is crucial for improving patient care.
Purpose of the Study:
- To compare the Limberg flap and Bascom cleft lift for pilonidal sinus disease.
- To assess patient satisfaction, complications, and recurrence rates.
- To determine the most effective tension-free surgical method.
Main Methods:
- Prospective study of 122 patients with pilonidal sinus disease.
- Division into two groups: Limberg flap and Bascom cleft lift.
- Evaluation of quality of life, pain, healing time, hospital stay, complications, excised tissue weight, and recurrence.
Main Results:
- Bascom cleft lift group showed shorter operation duration.
- Less excised tissue weight was observed in the Bascom cleft lift group.
- Improved bodily pain and role limitation scores were noted postoperatively in the Bascom cleft lift group.
Conclusions:
- Both Limberg flap and Bascom cleft lift yield good early results for pilonidal sinus disease.
- Bascom cleft lift is a reliable technique offering shorter operative times.
- Bascom cleft lift enhances early postoperative quality of life.
