Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA, 98431, USA.
Madigan Army Medical Center, 9040 Jackson Ave, Tacoma, WA, 98431, USA.
Am J Surg. 2020 May;219(5):737-740. doi: 10.1016/j.amjsurg.2020.03.005. Epub 2020 Mar 14.
Limited data exists regarding outcomes for the Bascom cleft lift procedure for pilonidal disease.
Single-center retrospective review of patients who underwent a Bascom cleft lift from 2013 to 2018. Univariate analysis was performed to determine associations between patient-specific characteristics and post-operative complications. Postoperative complications were categorized as major or minor. Multivariate analysis was performed to identify predictors of postoperative complications.
235 patients were included. Forty-five percent were obese and 24% were active smokers. Minor complications occurred in 34.5% (81); major complications occurred in 19.1% (45). The recurrence rate was 4.7% (11). Smoking was not associated with postoperative complications. Obesity was independently associated with higher rates of both minor (OR 2.6, p = 0.001) and major (OR 2.3, p = 0.001) complications.
Wound complications are common after Bascom cleft lift. Obesity is an independent predictor of postoperative complications. Obese patients should be appropriately counseled regarding their increased risk prior to surgery.
关于 Bascom 裂沟提升术治疗藏毛窦疾病的结果，相关数据有限。
对 2013 年至 2018 年间接受 Bascom 裂沟提升术的患者进行单中心回顾性研究。采用单因素分析来确定患者特征与术后并发症之间的相关性。术后并发症分为主要或次要并发症。采用多因素分析来确定术后并发症的预测因素。
共纳入 235 例患者。45%的患者肥胖，24%为活跃吸烟者。34.5%（81 例）出现轻微并发症，19.1%（45 例）出现严重并发症。复发率为 4.7%（11 例）。吸烟与术后并发症无关。肥胖与轻微（OR 2.6，p=0.001）和严重（OR 2.3，p=0.001）并发症的发生率均升高有关。
Bascom 裂沟提升术后伤口并发症常见。肥胖是术后并发症的独立预测因素。肥胖患者在术前应接受适当的咨询，了解其增加的风险。
