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What is Bascom technique is employed in surgery of and explain in detail?
Pilonidal sinus(Jeep bootom or Driver's bottom) is epithelium lined tract, situated sho distance behind the anus, containing hairs and unhealthy diseased granula- tion tissue. It is due to penetration of hairs through the skin into subcutaneous tissue; occurs in sacral region between the buttocks, umbilicus, axilla. Bascom technique of excision through lateral approach is a good method of treatment. Through small lateral incision or multiple small lateral incisions 2-4 mm sized sinus is approached and pus is drained; hairs are removed with only minimal excision of sinus. Cavity walls are not excised. Lateral small wounds are either sutured or left open for spontaneous healing. Reference : page 968 SRB's manual of surgery 5th edition