Dr. Samuil Rafailov, a board-certified general and cosmetic surgeon, has dedicated his practice to treating pilonidal disease. He specializes in the cleft lift procedure (also known as the Bascom ...

Oct. 25, 2002 — A new paradigm for the surgical approach to pilonidal disease, described in the October issue of the Archives of Surgery, allows cure for those cases which were formerly ...

The failure of other surgical methods and the success of the Bascom cleft-lift procedure have long suggested the need for a 'paradigm shift' in the understanding and treatment of pilonidal disease.

EPSiT, short for Endoscopic Pilonidal Sinus Treatment, is a groundbreaking, minimally invasive approach to transforming the management of pilonidal sinus at the natal cleft.

The cleft lift procedure was developed by Dr. John Bascom, a colorectal surgeon who, in the 1980s and 1990s, pioneered a new understanding of pilonidal disease.