Bascom Cleft Lift Technique in Sacrococcygeal Pilonidal Disease: Results of Tezel Type 4 and 5 Cases

According to the Tezel classification, the surgical method to be applied for type 4 and type 5 sacrococcygeal pilonidal disease (SPD) patients is controversial. Our aim is to discuss the success of the Bascom Cleft Lift (BCL) technique in treating these patients. In the present study, patients who were operated on for primary or recurrent pilonidal sinus disease by the same surgeon (IAT) in a tertiary medical faculty hospital between January 2018 and January 2020 were retrospectively analyzed. Complication and recurrence rates after BCL were compared with the available literature. There were 10 patients who underwent BCL for SPD Tezel type 4 and type 5. The average age of the patients was 21 (16- 29) years and 9 (90%) of them were male. The mean follow-up time was 22 (11-26) months. The mean operation time was 42 (35-58) minutes. The duration of hospitalization was 2.4 (1-5) days. Although the first patients stayed in the hospital for a long time, the last three patients stayed for a day each. Seroma developed in 2 (20%) patients, superficial infection in 1 (10%) and recurrence in 1 (10%) patient. Recurrence developed only in the patient who was operated in the eigth row. No patient was reoperated. BCL is a successful technique for treating Tezel type 4 and type 5 SPD patients.