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The impact of experience on recurrence rates after biopsy punch excision for pilonidal disease

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We present the outcomes and the recurrences of 848 patients with pilonidal disease (PD) treated by biopsy punch excision (BPE) and we weigh our results against progressively obtained operative experience.… Click to show full abstract

We present the outcomes and the recurrences of 848 patients with pilonidal disease (PD) treated by biopsy punch excision (BPE) and we weigh our results against progressively obtained operative experience. BPE is a modified ‘merged’ version of both the Bascom ‘pit picking’ procedure and the Gips procedure. It employs biopsy punches of different calibre, depending on whether treatment is in the natal cleft (calibre as small as possible) or lateral (larger calibre punches or even small incision). Sometimes this procedure is referred to as the Bascom–Gips procedure.

Keywords: pilonidal disease; biopsy punch; disease impact; experience; punch excision

Journal Title: Colorectal Disease
Year Published: 2022

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