In 2021 Dr. Immerman published an article titled “The Bascom Cleft Lift as a Solution for All Presentations of Pilonidal Disease”. This was the first study proposing that any kind of pilonidal problem,…
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Is a cleft lift for mild pilonidal disease like “going after a fly with an elephant gun”? Many surgeons feel that for very severe pilonidal disease the cleft lift is the best option when performed by an…
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Is there really such a thing as a “pilonidal specialist”? In many conversations on social media the term “pilonidal specialist” is used to describe a certain category of surgeon. The American College of…
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For surgeons, defining and removing pilonidal disease during an operation is not a mysterious hunt, but rather a very straight-forward process. Is is because all the pilonidal disease was not removed?…
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Sometimes wound from pilonidal surgery seem to heal, but then open up again, and this happens multiple times. This is a common problem, and usually means that there is still a residual cleft, that the…
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Am I Doomed? The short answer is, “no”. But, what should you do now? When a cleft lift fails – meaning that either the incision came apart and isn’t healing, or a new cyst, sinus, or wound has…
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