The procedure consisted of excision of the sinus tracts, cysts, and open wounds raising a skin and subcutaneous tissue flap and flattening the gluteal cleft. Patients were subsequently surveyed in preparation for this study, by phone, email, or email survey to determine the current status. All patients were treated by the author in private practice clinics and hospitals between 19 and were entered into a database concomitantly with their treatment. Some technical modifications had to be made to accommodate patients with perianal disease, and they are described.
The Bascom cleft lift was used in patients with primary disease, recurrent disease, perianal disease, and failed flap procedures. This study is a report on 700 consecutive patients treated with the Bascom cleft lift as treatment for both simple and complex pilonidal diseases between 19.
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