What is a Bascom cleft lift?
Bascom operation. This procedure, may also be called “cleft closure” or “cleft lift” This procedure is usually performed if a pilonidal abscess has failed to heal. The operation involves removing the infected tissue which is often more extensive than it appears on the surface.
What is cleft lift pilonidal cyst?
The Cleft Lift procedure is the proper procedure for all forms of pilonidal disease requiring surgery and has a very low complication rate when performed by a surgeon experienced in the technique. The Sternberg Clinic utilizes this technique as our primary operation for Pilonidal Disease.
Do pilonidal cyst recurrence after surgery?
Unfortunately, pilonidal cysts can come back after surgery. Within five years of a procedure, recurrence rates ranged from 13.8 percent to 32 percent , depending on the type of surgical removal. The reccurrence rate after incision and drainage is about 40 percent.
How do you stop a pilonidal cyst from recurring?
How can pilonidal cysts be prevented?
- Regularly washing and drying your buttocks (to keep the area clean).
- Losing weight (if you are currently overweight) to lower your risk.
- Avoiding sitting for too long (if your job allows) to keep pressure off the area.
- Shaving the hair around your buttocks (once a week or more).
How painful is cleft lift surgery?
Patients experience minimal discomfort. Most patients go home the same day and are allowed to return to full activity including athletics after the drain is removed, usually within a week. After a cleft lift procedure, patients will have a thin scar, can wear bathing suits without embarrassment, and sit without pain.
How long does a cleft lift take to heal?
Based on intention to treat, 20 of 22 (91%) patients had complete healing documented at a median of 31days after initial surgery. Half of the patients were fully healed and back to normal activities by one month and 68% by two months. Two patients (9%) failed surgery and had ongoing pilonidal disease.
How long is a cleft lift surgery?
The procedure takes about 1 hour. It is performed under general anesthesia. The wound is completely closed and no packing is required.
How many times can pilonidal cysts recur?
Some people undergo treatment for their pilonidal cysts, and never have another issue. However, as many as 20 percent of patients experience at least one recurrence. These cysts can recur within the first six months after treatment, or as many as 20 years later.
How long does it take for a pilonidal cyst to come back after surgery?
If the cut (incision) was closed with stitches, it will probably take about 4 weeks to completely heal. If your incision is left open, it may take from a few weeks to several months to heal. After the incision has healed, you will have a scar where the cyst was removed. This will fade and become softer with time.
How many times can a pilonidal cyst come back?
How Likely are Pilonidal Cysts to Recur? Some people undergo treatment for their pilonidal cysts, and never have another issue. However, as many as 20 percent of patients experience at least one recurrence. These cysts can recur within the first six months after treatment, or as many as 20 years later.
Why do pilonidal cysts keep coming back?
Early recurrence is usually due to failure to identify one or more sinuses at the time of incision and drainage. Later recurrence (more than six months after surgery) is usually due to tension in the midline cleft and a secondary infection caused by further build-up of hair or other debris (Khanzada and Samad, 2007).
How long does it take to heal from cleft lift surgery?