There is no universally accepted and used classification of Sacrococcygeal Pilonidal Disease.
This leads to studies being non-generalizable with difficult to compare outcomes driving the tendency towards surgeon specific management.
A survey of pilonidal surgeons was perforemed to determine the necessary components of a classification system.
Pilonidal Disease videos
Bascom in 2002 described his Cleft Lift as a “modification of the successful method of Karydakis and Kitchen".
This relatively straightforward flap results in an off midline scar which is out of the ditch.
In 1955 researchers discovered:
- suction pressure in the subcutaneous tissue of the natal cleft
- due to its scales, hair is always propelled in the direction of the root
- all hairs within a pilonidal sinus are parallel