This site was originally intended for those suffering from Pilonidal
Disease, however, over the years it has also become a major resource
for those in the medical profession seeking information. This
page lists every published study that we have in the "library" as
well as a link to download a PowerPoint presentation by Dr. John
Bascom which details his Cleft Lift operation and a more
conservative approach for Pilonidal treatments.
This site is committed to changing the incorrect perception that
a Pilonidal is cyst that needs deep and wide excision. Pilonidals are
abscesses, not true cysts. Pathologists and surgeons on rare
occasions find the sac is lined with epidermis, made up of cells
from skin, but only cells from the outer layer of skin. That outer
layer, which we call epidermis, contains no follicles. Pathologists
find epidermis lines the sac only in rare late cases where epidermis
has crept into a long-standing abscess in an attempt to heal it.
They never find a sac lined with intact skin and follicles, only an
occasional sac lined with epidermis.
With this in mind, deep and excision, as is commonly
thought, is not the most effective treatment for Pilonidal.
Bascom's Cleft
Lift Presentation (web version) - best viewed with IE because it
is largely crippled in any other browser (insert Microsoft rant
here). If you have PowerPoint or are willing to install the
viewer, download the presentation from the link below.
Bascom's Cleft
Lift Presentation (PowerPoint version, 8.5 MB)
*Need to have either PowerPoint or the
Viewer to view.
Healing by primary closure versus open healing after surgery for
pilonidal sinus: systematic review and
meta-analysis (pdf)
McCallum ◊ British Medical Journal 2008
Pit
Picking Quick Tutorial(pdf) -
Bascom ◊ Special to Pilonidal.org 2006
Cleft Lift Published
Article (pdf) -
Bascom ◊ Archives of Surgery 2002
There is also a video tape of this operation that Dr. Bascom will
be happy to share, as well as the presentation on DVD. You
may email him to request a copy
of either or both (Medical Professionals only).
Pilonidal Sinus
(pdf) -
Bascom ◊ Current Theory in Colon & Rectal Surgery 1990
Pilonidal Sinus - The Modified Karydakis Operation (pdf) -
Kitchen ◊ Special to Pilonidal.org 2006
Pilonidal
Sinus Disease: The Conservative Approach (pdf) -
Armstrong & Barcia ◊ Archives of Surgery 1994
Pilonidal
disease: Origin from follicles of hairs and results of
follicle removal as treatment (pdf) -
Bascom ◊ Updated in 2006, originally published in Surgery 1980
Cytokeratin Expression in Pilonidal Sinus (pdf) -
British Journal of Dermatology 2002
Pilonidal Sinus
Disease (pdf) -
Harding/Miller ◊ World Wide Wounds 2003
Pilonidal Disease: A Conservative Treatment (pdf)
Pingree ◊ American College of Surgeons 2001
Easy and Successful
Treatment of Pilonidal Sinus after Explanation of it's Causative
Process (pdf) -
Karydakis ◊ Australian and New Zealand Journal of Surgery 1992
Pilonidal Sinus: A Simple
Treatment (pdf) -
Lord/Millar ◊ British Journal of Surgery 1965
Wound Healing:
Pilonidal Sinus
Wounds: A Clinical Approach (pdf) -
Bannerjee ◊ Journal of
Community Nursing 1999
Managing Cavity
Wounds (pdf) -
Pudner ◊ Journal of Community Nursing 1998
Managing Wound Sinuses
(pdf) -
Butcher ◊ Nursing Times 2002
This page last updated:
05/26/2008
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