Long-term outcome after Bascom's pit-pick procedure for pilonidal sinus disease: A cohort study.

Area of Science:

• Colorectal Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Pilonidal sinus disease (PSD) is a common condition.
• Bascom's pit-pick procedure offers favorable short-term outcomes for PSD.
• Long-term efficacy data for this procedure remain limited.

Purpose of the Study:

• To evaluate the long-term outcomes of Bascom's pit-pick procedure for simple PSD.
• To assess risks of treatment failure, recurrence, and complications.
• To analyze patient-reported outcomes including pain and cosmetic satisfaction.

Main Methods:

• Retrospective review of medical records for patients undergoing the pit-pick procedure.
• Long-term follow-up data updated via online surveys and telephone interviews.
• Competing risk analysis to determine cumulative recurrence rates.

Main Results:

• Median follow-up was nearly 8 years for 158 patients.
• 10-year cumulative recurrence rate was 27%; overall treatment success was 68%.
• Active smoking and ≥3 primary pits significantly increased recurrence risk. Over 90% reported no complications or chronic pain.

Conclusions:

• Bascom's pit-pick procedure is an adequate long-term treatment for most patients with simple pilonidal sinus.
• Patient factors like smoking status and disease severity influence recurrence.
• High patient satisfaction with cosmetic outcomes and low complication rates were observed.