{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:11:33Z","timestamp":1793319093208,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,23]],"date-time":"2013-02-23T00:00:00Z","timestamp":1361577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients undergoing surgery for recurrent pilonidal disease are at high risk of developing re\u2010recurrence. The present retrospective analysis was performed to compare long\u2010term results in patients with recurrent disease undergoing midline excision surgery compared to patients undergoing the Karydakis flap procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Only patients with previous excision surgery apart from simple abscess incision were included. Disease recurrence was defined as the need for repeat surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 124 patients underwent surgery for recurrent pilonidal disease. Group 1 consisted of 37 patients (25 excision + midline closure, 12 excision + lay\u2010open). Group 2 consisted of 87 patients (Karydakis flap). There were no statistically significant differences between the groups with regard to patient\u2019s age, duration of disease, body mass index, or sex. The average number of previous surgeries was significantly higher in group 1 patients (2.1 vs. 1.8, <jats:italic>p<\/jats:italic> = 0.019). The overall 1\u2010year recurrence rate was 43 % in group 1 and 3 % in group 2 (<jats:italic>p<\/jats:italic> &lt; 0.0001). The wound dehiscence rate after the Karydakis flap procedure was as high as 43 % between years 2005 and 2009, but it fell to 10 % thereafter (<jats:italic>p<\/jats:italic> = 0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Karydakis flap procedure is superior to midline excision surgery in patients presenting with recurrent pilonidal disease.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-1950-8","type":"journal-article","created":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T15:19:38Z","timestamp":1361546378000},"page":"1115-1120","source":"Crossref","is-referenced-by-count":28,"title":["Karydakis Flap for Recurrent Pilonidal Disease"],"prefix":"10.1002","volume":"37","author":[{"given":"Igors","family":"Iesalnieks","sequence":"first","affiliation":[{"name":"Department of Surgery Marienhospital Gelsenkirchen Virchowstrasse 135 45886 Gelsenkirchen Germany"},{"name":"Department of Surgery University of Regensburg Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Deimel","sequence":"additional","affiliation":[{"name":"Department of Surgery Marienhospital Gelsenkirchen Virchowstrasse 135 45886 Gelsenkirchen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans J.","family":"Schlitt","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Regensburg Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,2,23]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(42)90210\u20101"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800720418"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480707301034"},{"key":"e_1_2_7_5_2","first-page":"242","article-title":"Excision and primary suture of pilonidal sinus","volume":"77","author":"Khaira HS","year":"1995","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(73)92803\u20101"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.10.1146"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236268"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102000\u201010076"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20106451\u20102"},{"key":"e_1_2_7_11_2","doi-asserted-by":"crossref","unstructured":"Al\u2010KhamisA McCallumI KingPMet al (2010) Healing by primary versus secondary intention after surgical treatment for pilonidal sinus.Cochrane Database Syst Rev(1). doi:10.1002\/14651858.CD006213.pub3","DOI":"10.1002\/14651858.CD006213.pub3"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.05.051"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010009\u20100804\u20101"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819a3ec0"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052321"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241501750070600"},{"key":"e_1_2_7_17_2","first-page":"351","article-title":"Morbidity and short term results in a randomised trial of open compared with closed treatment of chronic pilonidal sinus","volume":"158","author":"S\u00f8ndenaa K","year":"1992","journal-title":"Eur J Surg"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00104\u2010003\u20100616\u20108"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800831040"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00104\u2010011\u20102077\u20109"},{"key":"e_1_2_7_21_2","first-page":"567","article-title":"Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment","volume":"87","author":"Bascom J","year":"1980","journal-title":"Surgery"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02235591"},{"key":"e_1_2_7_23_2","first-page":"192","article-title":"Die Therapie des Sinus pilonidalis mit dem Transpositionslappen nach Limberg","volume":"66","author":"Ozg\u00fcltekin R","year":"1995","journal-title":"Chirurg"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241599750006721"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(97)90354\u20108"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.01.008"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313481007600936"},{"key":"e_1_2_7_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2008.01646.x"},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.08.042"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00337585"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-013-1950-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-013-1950-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-013-1950-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T23:15:29Z","timestamp":1704928529000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-013-1950-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,23]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1007\/s00268-013-1950-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-013-1950-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,23]]}}}