{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:04:13Z","timestamp":1773921853263,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T00:00:00Z","timestamp":1525046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T00:00:00Z","timestamp":1525046400000},"content-version":"tdm","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":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Although many surgical methods have been described for treating pilonidal sinus disease, controversy still exists as to the best surgical technique. The aim of this study is to present a new modified advancement flap technique named \u201comega flap\u201d for the treatment of pilonidal sinus disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This study included 18 patients with pilonidal sinus who were treated between March 2012 and August 2014. All cases underwent oval excision and omega advancement flap reconstruction. Defect size, postoperative complications, postoperative pain, painless sitting time, patient satisfaction and recurrence were evaluated retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were discharged on the first postoperative day. There was no flap necrosis. No recurrence and no major complication were observed during follow\u2010up period. The outcomes were also satisfactory regarding functionally and aesthetically, and the patients were satisfied with the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Presented method has a different geometry than classical advancement flap methods. Our technique provides two\u2010layered repair with minimal tension and off\u2010midline closure for the reconstruction of pilonidal sinus defect. It is easily performed, reliable, associated with no recurrens and good aesthetic results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4648-0","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T19:46:45Z","timestamp":1525117605000},"page":"3568-3574","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A New Oval Advancement Flap Design for Reconstruction of Pilonidal Sinus Defect"],"prefix":"10.1002","volume":"42","author":[{"given":"Enver","family":"Arpaci","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery School of Medicine Baskent University Hocacihan Mah. Sofa Sk. 50\/18 Sel\u00e7uklu\u2010Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Altun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery School of Medicine Firat University Elazig Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erkan","family":"Orhan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Nam\u0131k Kemal School of Medicine Tekirdag Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atilla","family":"Eyuboglu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery School of Medicine Baskent University Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilgun Markal","family":"Ertas","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery School of Medicine Baskent University 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