Publications by authors named "Thomas Bascom"
Background: Refractory pilonidal disease is a problem. We wished to show the utility of the cleft lift procedure in solving nonhealing.
Methods: We selected a subset of challenging cases for this study.
Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results.
Design: Before-and-after trial.
Article Synopsis
- The study explores the use of a low-profile stent-graft for treating complicated aortic dissections, aiming for a less invasive percutaneous approach compared to traditional methods.
- In a trial involving 15 patients, the stent-graft was successful in excluding the entry tear in 87% of cases and achieving femoral closure in 93% with minimal complications.
- While the overall results are promising, the 30-day mortality rate was 27%, indicating the need for further research to improve outcomes in this patient population.