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Revision Bascom Cleft Lift Pilonidal Cystectomy

Michael Reinhorn, MD, MBA, FACS
Tufts University School of Medicine

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. Mark Subcutaneous Fat for Sutures

6. Hemostasis

7. Closure

  1. Insert 10 fr Blake Drain
  2. Suture 1st Deep Fascia Layer with 2-0 PDS
  3. Suture 2nd Deep Fascia Layer with 2-0 PDS
  4. Suture Subcutaneous Layer with 2-0 Vicryl
  5. Suture Subcutaneous Layer with 3-0 Vicryl
  6. Suture Dermis with 3-0 Monocryl