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- JUNE 29, 2025
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Scar Appearance after a Cleft Lift
What does the scar look like after a cleft lift operation? This is a commonly asked question, and like most medical questions, the answer depends on various things. The severity of the pilonidal disease before the cleft lift. Whether there have been previous operations, and exactly what kind. If the patient has any dermatologic (skin)Read more
- JUNE 10, 2025
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Packing
What is "packing", and do I need it? "Packing" doesn't mean that your pilonidal cyst is going on a trip! Packing refers to the situation where an abscess (pocket of infection) is drained (lanced) and filled with gauze; or a situation where a surgical wound separates, and is filled with gauze. The concept behind thisRead more
- APRIL 24, 2025
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Dr. Immerman’s Pilonidal Research is Making a Difference
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, ranging from small symptomatic pits, to recurrent sinuses, to large perianal wounds - can be successfully treated with the cleft lift procedure.Read more
- MARCH 2, 2025
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Is a Cleft Lift Appropriate for “Mild” Pilonidal Disease?
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 experienced pilonidal surgeon. But, what is the best approach for patients with mild disease? This is a veryRead more