Bascom Cleft Lift
A flap procedure that flattens the natal cleft and repositions the wound scar away from the midline - addressing the anatomical root cause of pilonidal sinus recurrence. Available at Lux Hospitals, Hyderabad.
What is Bascom Cleft Lift?
The Bascom Cleft Lift is a flap-based surgical technique that addresses the fundamental anatomical cause of pilonidal sinus recurrence - the deep natal cleft that traps hair and creates a moist environment prone to re-infection. The procedure reshapes the natal cleft by excising the sinus, filling the deep cleft with subcutaneous tissue, and closing the wound away from the midline. Dr. Samhitha Reddy recommends Bascom Cleft Lift at Lux Hospitals, Hyderabad for recurrent or complex pilonidal disease where simple excision has previously failed. As part of the advanced pilonidal sinus treatment in Hyderabad programme, this procedure achieves the lowest recurrence rates by eliminating the anatomical predisposing factor - not just the sinus itself.
How the Procedure Works
Sinus Mapping
All sinus pits and tracts are identified and marked pre-operatively. Active infection must be fully resolved before proceeding to flap repair.
Asymmetric Sinus Excision
All sinus tracts and pit openings are excised through an asymmetric elliptical incision designed to maximise flap tissue availability.
Cleft Filling
Subcutaneous tissue from the lateral flap is rotated to fill the deep natal cleft - eliminating the cleft depth that is the anatomical root cause of recurrence.
Off-Midline Wound Closure
The wound is closed off the midline under no tension - moving the healing scar away from the problematic intergluteal crease.
Post-operative Care
Wound care instructions provided. Laser hair removal around the scar advised. Activity restrictions for 3-4 weeks. Regular follow-up confirms complete healing.
Outcomes
Who Needs This Treatment?
- →Lowest recurrence rate of pilonidal procedures - addresses the anatomical root cause
- →Off-midline closure avoids wound breakdown in the moist midline crease
- →Appropriate for recurrent disease that has failed conventional excision
- →Faster healing than open excision - primary closure heals in 3-4 weeks
- →No drain required in most cases - primary closure under no tension
- →Available at Lux Hospitals, Hyderabad for comprehensive pilonidal sinus surgery
The Bascom Cleft Lift is the most anatomically logical operation for pilonidal sinus - we are not just removing the disease, we are reshaping the anatomy that caused it. For patients with recurrent pilonidal sinus, it is genuinely life-changing.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
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