's simple pilonidal sinus surgery simpler with ultrasound guidance参考文献.pdf

Journal of Medical Ultrasound (2013) 21,97e99
Available online at I procedure, the midline sinus pits are
treatment of pilonidal disease [1], two techniques form the excised using small diamond-shaped incisions. The chronic
mainstay of modern surgical management: Bascom’s simple abscess cavity is drained through a generous lateral incision
surgery (sometimes called Bascom I procedure or the Bas- that is subsequently left open to heal by secondary inten-
com “pit-pick and drain”) [2] and the modified Karydakis or tion (Fig. 1A) [3]. In many patients, however, the incision is
Bascom “cleft lift” (also known as Bascom II procedure) poorly placed or overly generous resulting in prolonged
healing time, as the location and extent of the abscess
cavity is unknown. The Bascom II procedure, involving wide
excision of both the midline pits and abscess cavity en bloc,
* Correspondence to: Mr Philip Smart, Department of General
Surgery and Gastroenterology, Epworth Healthcare, 89 Bridge is usually reserved for more severe disease or recurrences.
Road, Richmond, Victoria 3121, Australia. Here