title: Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: prospective, randomized trial.
abstract: BACKGROUND
  Although various methods have been described for surgical treatment of pilonidal sinus disease, which is best is under debate. Tension-free techniques seem to be most ideal. We aimed to evaluate the effects of two tension-free methods in terms of patient satisfaction, postoperative complications, and early recurrence.
  
  
  METHODS
  A group of 122 patients were prospectively included in the study. Patients were divided into two groups based on the operative method used: Limberg flap or Bascom cleft lift. Quality of life scores, pain scores, length of time for healing, hospital stay, surgical area-related complications, excised tissue weight, and early recurrence information were evaluated.
  
  
  RESULTS
  Follow-up of patients in each group was completed. Patients in the Bascom cleft lift group had shorter operation duration, less excised tissue weight, better bodily pain score, and less role limitation due to physical problems score on postoperative day 10. There was no statistically significant difference between groups for the other criteria.
  
  
  CONCLUSIONS
  Although both techniques provided good results during the early period, the Bascom cleft lift procedure is a reliable technique that provides shorter operation duration and better quality of life during the early postoperative period.
authors.affiliation: Department of General Surgery, Trabzon Numune Training and Research Hospital, Maras Str., 61040 Trabzon, Turkey. draliguner@yahoo.com
authors.forename: Ali
authors.initials: A
authors.lastname: Guner
authors.forename: Aydin
authors.initials: A
authors.lastname: Boz
authors.forename: Omer Faruk
authors.initials: OF
authors.lastname: Ozkan
authors.forename: Omer
authors.initials: O
authors.lastname: Ileli
authors.forename: Can
authors.initials: C
authors.lastname: Kece
authors.forename: Erhan
authors.initials: E
authors.lastname: Reis
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010864:Pilonidal Sinus / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D012008:Recurrence; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult