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Limberg Flap Versus Bascom Cleft Lift Techniques for Sacrococcygeal Pilonidal Sinus: Prospective, Randomized Trial

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Abstract

Background

Although various methods have been described for surgical treatment of pilonidal sinus disease, which is best is under debate. Tension-free techniques seem to be most ideal. We aimed to evaluate the effects of two tension-free methods in terms of patient satisfaction, postoperative complications, and early recurrence.

Methods

A group of 122 patients were prospectively included in the study. Patients were divided into two groups based on the operative method used: Limberg flap or Bascom cleft lift. Quality of life scores, pain scores, length of time for healing, hospital stay, surgical area-related complications, excised tissue weight, and early recurrence information were evaluated.

Results

Follow-up of patients in each group was completed. Patients in the Bascom cleft lift group had shorter operation duration, less excised tissue weight, better bodily pain score, and less role limitation due to physical problems score on postoperative day 10. There was no statistically significant difference between groups for the other criteria.

Conclusions

Although both techniques provided good results during the early period, the Bascom cleft lift procedure is a reliable technique that provides shorter operation duration and better quality of life during the early postoperative period.

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Authors and Affiliations

  1. Department of General Surgery, Trabzon Numune Training and Research Hospital, Maras Str., 61040, Trabzon, Turkey

    Ali Guner, Aydin Boz, Omer Ileli & Can Kece

  2. Department of General Surgery, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey

    Omer Faruk Ozkan

  3. Department of General Surgery, Ankara Oncology Training and Research Hospital, Ankara, Turkey

    Erhan Reis

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  1. Ali Guner
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  2. Aydin Boz
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  3. Omer Faruk Ozkan
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  4. Omer Ileli
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  5. Can Kece
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  6. Erhan Reis
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Correspondence to Ali Guner.

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Guner, A., Boz, A., Ozkan, O.F. et al. Limberg Flap Versus Bascom Cleft Lift Techniques for Sacrococcygeal Pilonidal Sinus: Prospective, Randomized Trial. World J Surg 37, 2074–2080 (2013). https://doi.org/10.1007/s00268-013-2111-9

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  • DOI: https://doi.org/10.1007/s00268-013-2111-9

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