{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:40:06Z","timestamp":1785908406493,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T00:00:00Z","timestamp":1469577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T00:00:00Z","timestamp":1469577600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Surgery for pilonidal sinus has no gold standard, and results depend purely on surgeon preference of procedure and experience. Till date, there has been no study comparing the surgical outcomes when performed by residents. Therefore, we designed our study to compare the short\u2010term outcomes of Karydakis\u2019 and Limberg\u2019s flap procedures in the treatment of pilonidal disease when performed by surgical residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective, double\u2010blinded, observational study was carried out at Command Hospital, Pune, India. Twenty\u2010five consecutive patients undergoing each of the Karydakis\u2019 and Limberg\u2019s flap procedures (<jats:italic>n<\/jats:italic> = 50) were enrolled in the study. All patients had a primary sinus opening. Patients with a frank pilonidal abscess were excluded, but patients with history of intermittent purulent discharge even during time of surgery were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significantly higher rate of infection in the Karydakis\u2019 group (9\/25) as compared to the Limberg\u2019s flap group (3\/25) and also a higher rate of complete wound dehiscence (2\/25 vs 1\/25).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Limberg\u2019s flap procedure appears to be superior to Karydakis\u2019 procedure, and the results are reproducible even by budding surgeons with little experience in the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3669-9","type":"journal-article","created":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T16:34:35Z","timestamp":1469637275000},"page":"615-619","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Learning Curve for Pilonidal Sinus Surgery: The Best Option for Budding Surgeons"],"prefix":"10.1002","volume":"41","author":[{"given":"Anurakshat","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Surgery Armed Forces Medical College 411040 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4186-2171","authenticated-orcid":false,"given":"Sunil","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Surgery Armed Forces Medical College 411040 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"Department of Surgery Armed Forces Medical College 411040 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamalkant","family":"Khidtta","sequence":"additional","affiliation":[{"name":"Department of Surgery Armed Forces Medical College 411040 Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,27]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM184702240360402"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM188011181032101"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39517.808160.BE"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/9781420017991"},{"issue":"12","key":"e_1_2_7_6_2","first-page":"A4200","article-title":"Treatment of 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