{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T20:44:46Z","timestamp":1781469886376,"version":"3.54.1"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100013015","name":"Cedars-Sinai Medical Center","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100013015","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Pilonidal disease (PD) is marked by chronic inflammation and frequent recurrence which can decrease quality of life. However, debate remains regarding the optimal treatment for PD in the pediatric population. This study compares two recommended treatment approaches\u2014excision with off-midline flap reconstruction (OMF: Bascom cleft lift flap, modified Limberg flap) and minimally invasive endoscopic pilonidal sinus treatment (EPSiT).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Single-center retrospective evaluation of patients 1\u201321\u00a0years of age with PD who underwent either excision with OMF reconstruction or EPSiT between 10\/1\/2011 and 10\/31\/2021. Outcomes included were disease recurrence, reoperation, and wound complication rates. Comparisons were performed using Chi-square and Mann\u2013Whitney U tests.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>18 patients underwent excision\/OMF reconstruction and 45 patients underwent EPSiT. The excision\/OMF reconstruction cohort was predominantly male (44.4% vs 17.8% <jats:italic>p<\/jats:italic>\u2009=\u20090.028), with history of prior pilonidal infection (33.3% vs 6.7%; <jats:italic>p<\/jats:italic>\u2009=\u20090.006), and longer median operative time (60\u00a0min vs 17\u00a0min; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The excision\/OMF reconstruction cohort had a higher rate of wound complications (22.2% vs 0%; <jats:italic>p<\/jats:italic>\u2009=\u20090.001), but lower rates of disease recurrence (5.6% vs 33.3%; <jats:italic>p<\/jats:italic>\u2009=\u20090.022) and reoperation (5.6% vs 31.1%; <jats:italic>p<\/jats:italic>\u2009=\u20090.031).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In pediatric patients with PD, excision with OMF reconstruction may decrease recurrence and reoperation rates with increased operative times and wound complication rates, compared to EPSiT.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-023-05629-1","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T14:03:16Z","timestamp":1706709796000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes of pediatric pilonidal disease treatment: excision with off-midline flap reconstruction versus endoscopic pilonidal sinus treatment"],"prefix":"10.1007","volume":"40","author":[{"given":"William G.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celia","family":"Short","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanya","family":"Vojvodic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Sundin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan G.","family":"Spurrier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kasper S.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Pelayo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"5629_CR1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/j.1445-2197.1992.tb07208.x","volume":"62","author":"GE Karydakis","year":"1992","unstructured":"Karydakis GE (1992) Easy and successful treatment of pilonidal sinus after explanation of its causative process. 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This retrospective chart review study involving human participants was in accordance with the ethical standards of the international and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Institutional Review Board of Children\u2019s Hospital Los Angeles approved this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"46"}}