Revision Bascom Cleft Lift Pilonidal Cystectomy

1. Introduction

2. Marking and Surgical Approach

1. Inject Local Anesthesia

3. Excision

1. Superficial Incision with No. 15 Blade
2. Use Cautery to Excise Cyst and Sinus Tract

4. Wound Irrigation

5. Gluteal Flap Mobilization

1. Mobilize Left Gluteal Flap
2. Mobilize Right Gluteal Flap
3. Development of Fasciocutaneous Flap

6. Hemostasis

7. Closure

1. Placement of 10 Fr Blake Drain
2. Layer 1: Deep Fascia with 2-0 PDS
3. Layer 2: Deep Gluteal Fat with 2-0 PDS
4. Layer 3: Deep Dermis with 2-0 Vicryl
5. Layer 4: Deep Dermis with 3-0 Vicryl
6. Layer 5: Dermis with 3-0 Monocryl

8. Post-op Remarks