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.
Particularly indicated for recurrent pilonidal disease, multiple sinuses, and patients with a deep natal cleft anatomy. Active abscess must be drained first before definitive flap surgery.
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, Lux Hospitals, Hyderabad
Bascom Cleft Lift Surgery Cost in Hyderabad
The cost of Bascom cleft lift surgery in Hyderabad depends on the extent of pilonidal disease, depth of the natal cleft, complexity of recurrent disease, investigations required, and the care needed before and after surgery.
For patients with recurrent or deep natal cleft pilonidal disease, the approximate cost of Bascom cleft lift surgery ranges between ₹55,000 and ₹1,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Bascom Cleft Lift | ₹55,000 – ₹1,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Bascom Cleft Lift Cost
The overall cost may depend on:
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Complexity of pilonidal disease: The depth of the natal cleft, extent of recurrent disease, number of sinus tracts, and previous surgeries may influence the treatment approach and surgical planning.
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Pre-operative evaluation: Required investigations, clinical examination, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as removal of infected tissue, abscess drainage, or other pilonidal sinus management procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, wound care, medicines, and follow-up requirements may influence the final estimate.
Is Bascom Cleft Lift Covered by Insurance?
Bascom cleft lift surgery may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether Bascom cleft lift surgery is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.