Online ISSN: 2515-8260

Keywords : Pilonidal disease

Role of Modified Bascom Procedure in the Treatment of Pilonidal Sinus

Naveen Banoth, Venkatesh A

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2428-2434

Background:An infection of the natal cleft and sacrococcygeal area that affects mostly teenagers and young adults. The biggest disadvantage is wound healing. The lack of a superior surgical procedure is due to the numerous proposed surgical techniques. The study will describe the modified Bascom procedure and its effects in individuals with pilonidal illness. Objectives:The purpose of this study is to evaluate the modified Bascom procedure and its results in patients with pilonidal disease.
Materials and Methods: From October 2020 to May 2021, patients presenting to JSS Hospital, Mysuru with pilonidal sinus were studied prospectively. Patient selection is based on a thorough history, physical examination, and basic pre-operative examinations. Thirty cases receive modified Bascom. The patient's rate of cure, postoperative complications, and recurrence are observed.
Results: In this study of 20 patients, there was a 9:1 male preponderance. 20.46 + 9.42yrs mean age of presentation Pilonidal sinus is widespread in persons who sit for long periods of time as drivers, students, etc. Acute pilonidal sinus to chronic discharge sinus. These patients' hospital stay, healing time, wound infection, wound dehiscence, and recurrence were evaluated, and the results were favourable. Our patients had wound infection and dehiscence, although the rate of recurrence and complications, hospital stay (4.42 + 1.24 days), and wound healing time (19.6 + 1.22 days) was low compared to previous operations.
Conclusion: Study demonstrates pilonidal illness affects guys in their 30s and 40s. Occupation and local anatomical factors play a role in illness development. Pilonidal disease is diagnosed clinically. There are several options for treating pilonidal disease. The primary closure is the most effective, with low recurrence rates, less problems, and faster healing


Hatem Mohammad Abdelmoneim, Samir Ibrahim Mohammed, Yousef Mohmmed Abdallah, Mahmoud Abdou Yassin, Mohammed Abdallah Zaitoun

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4914-4924

Background: The ideal operation for pilonidal sinus disease should be a simple one with low complication and low recurrence rates. This is achieved by flap techniques which flatten the natal cleft with an off-midline closure. The aim of the present study to determine the better procedure in treatment of pilonidal sinus disease, compare the efficiency and short-term results of conservative treatment, open excision, Karydakis flap and Rhomboid flap in treatment of pilonidal sinus disease. Patients and methods: A randomized controlled study included 56 patients with pilonidal sinus disease were admitted to General Surgery Department, Zagazig University Hospitals. The patients were allocated equally into: group (1) were treated with conservative method with medical treatment and drainage if needed; group (2) were operated by open technique; group (3) were operated by Limberg flap technique and group (4) were operated by Karydakis technique. Patients were subjected to full history and clinical examination, preoperative investigations and postoperative assessment. Results: The present study showed no significant difference regard age distribution as age was distributed as 30.71±5.73, 32.21±6.58, 32.57±6.47 and 32.42±8.2 respectively among groups. Conservative group was significantly shorter duration of symptoms than other groups with no significant difference. Operative time was significantly longer among Limberg group than Karydakis group and finally open group as it was significantly shorter than other group. Visual analog scale (VAS) was significantly higher among open cases. Healing and return work were significantly higher among open groupg compared to other groups. Recurrence was significantly associated with open and conservative groups while there was only one case in Limberg Group and no case in Karydakis Group. Bad and good satisfaction were significantly associated with open and conservative groups while excellent was significantly associated with Limberg Group & Karydakis Group. Conclusion: The four techniques are effective in treatment of pilonidal sinus while Conservative is preferred at early stage of the disease and flap techniques has better results and satisfaction than Open one. The Karydakis flap is prefered the Limberg flap for treating uncomplicated Sacrococcygeal pilonidal disease due to shorter operative and healing time with superior patient satisfaction.