Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience.
American journal of surgery
INTRODUCTION: Limited data exists regarding outcomes for the Bascom cleft lift procedure for pilonidal disease.
METHODS: Single-center retrospective review of patients who underwent a Bascom cleft lift from 2013 to 2018. Univariate analysis was performed to determine associations between patient-specific characteristics and post-operative complications. Postoperative complications were categorized as major or minor. Multivariate analysis was performed to identify predictors of postoperative complications.
RESULTS: 235 patients were included. Forty-five percent were obese and 24% were active smokers. Minor complications occurred in 34.5% (81); major complications occurred in 19.1% (45). The recurrence rate was 4.7% (11). Smoking was not associated with postoperative complications. Obesity was independently associated with higher rates of both minor (OR 2.6, p = 0.001) and major (OR 2.3, p = 0.001) complications.
DISCUSSION: Wound complications are common after Bascom cleft lift. Obesity is an independent predictor of postoperative complications. Obese patients should be appropriately counseled regarding their increased risk prior to surgery.
Hatch, Quinton; Marenco, Christopher; Lammers, Daniel; Morte, Kaitlin; Schlussel, Andrew; and McNevin, Shane, "Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience." (2020). Articles, Abstracts, and Reports. 3068.