{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:20:07Z","timestamp":1787872807814,"version":"build-2784847793"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":71,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007605","name":"Aarhus Universitet","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007605","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The optimal treatment for complex Pilonidal Sinus Disease (PSD) is still debated. Despite great advances with the introduction of off-midline closure techniques, healing problems and recurrence remain challenges. We aimed to investigate whether choice of skin-suturing technique in Bascom\u2019s Cleft lift (BCL) procedure influenced risk of prolonged healing or recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed the data of 540 unique patients who underwent BCL surgery at Randers Regional Hospital between 2016 and 2022. During this period, a technical revision of technique caused a shift from extracutaneous to intracutaneous closure creating two groups for comparison. Prolonged healing was defined as lack of complete epithelialization at the second post-surgical follow-up (maximum 14\u00a0weeks post-surgery).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no difference in time-to-healing among the suture groups with a 76% rate of primary healing in both groups. At 5\u00a0years post-surgery, the cumulative incidence proportion (CIP) of recurrence was 9.1% in the intracutaneous group and 5.7% in the extracutaneous group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.41). At 5\u00a0years post-surgery, the CIP of recurrence was 14.0% among patients with prolonged healing and 7.0% among patients with primary healing (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In our study population, choice of skin-suturing technique did not affect risk of prolonged healing nor recurrence after BCL surgery. However, patients experiencing prolonged healing after surgery had significantly higher risk of recurrence, emphasizing the need for increased efforts to prevent post-surgical wound dehiscence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03377-7","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:51:52Z","timestamp":1781783512000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The association between skin-suturing technique, prolonged healing and recurrence after Bascom's Cleft lift surgery"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6682-4359","authenticated-orcid":false,"given":"Marie Bjerg","family":"Larsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9760-5345","authenticated-orcid":false,"given":"Ida Kaad","family":"Faurschou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2135-433X","authenticated-orcid":false,"given":"Susanne","family":"Haas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"3377_CR1","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.jclinane.2016.03.061","volume":"33","author":"MM Luedi","year":"2016","unstructured":"Luedi MM et al (2016) Impact of spinal versus general anesthesia on postoperative pain and long term recurrence after surgery for pilonidal disease. 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The authors declare no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. The original database was registered with The Danish Data Protection Agency (1\u201316-02\u2013353-15). Journal audits were approved as quality control and subject to individual approval by local hospital management in the five hospitals of the Central Denmark Region.","order":2,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"138"}}