{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T10:30:58Z","timestamp":1756636258902},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,8,21]],"date-time":"2014-08-21T00:00:00Z","timestamp":1408579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short\u2010term results of modified elliptical rotation flap (<jats:styled-content style=\"fixed-case\">MERF<\/jats:styled-content>) for pilonidal sinus disease in terms of post\u2010operative complications, recurrence and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data of 121 patients (10 women, 111 men) who were operated on for sacrococcygeal pilonidal sinus disease between 2011 and 2013 were analysed. Elliptical rotation flap procedure which was described by Nessar <jats:italic>et\u2009al<\/jats:italic>. was modified. Complications, quality of life and recurrence were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operating time was 31 (range, 20\u201355)\u2009min. The mean time for complete healing was 2.26\u2009\u00b1\u20090.72 weeks. The mean time for returning to daily activities was 9.0\u2009\u00b1\u20092.2 days. There were no flap necrosis and recurrence. Post\u2010operative infection developed in five (4.1%) patients, which was managed by removal of a few skin sutures, drainage and prolonged antibiotic use. Four patients (3.3%) developed a seroma, three of them having a partial wound dehiscence (2.5%). Neither haematoma formation nor complete dehiscence were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">MERF<\/jats:styled-content> seems to be an effective and reliable procedure having low morbidity rates and no recurrence. Further prospective randomized studies comparing the <jats:styled-content style=\"fixed-case\">MERF<\/jats:styled-content> with other flap techniques will provide better information about the technique.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12818","type":"journal-article","created":{"date-parts":[[2014,8,21]],"date-time":"2014-08-21T10:55:40Z","timestamp":1408618540000},"page":"769-771","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Modified elliptical rotation flap for sacrococcygeal pilonidal sinus disease"],"prefix":"10.1111","volume":"84","author":[{"given":"Hayrettin","family":"Dizen","sequence":"first","affiliation":[{"name":"Department of General Surgery Eski\u015fehir Yunus Emre State Hospital  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"Yoldas","sequence":"additional","affiliation":[{"name":"Department of General Surgery Faculty of Medicine \u0130zmir University  \u0130zmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[{"name":"Department of General Surgery Eski\u015fehir Yunus Emre State Hospital  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Cilekar","sequence":"additional","affiliation":[{"name":"Department of General Surgery Eski\u015fehir State Hospital  Eski\u015fehir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evren","family":"Dilekta\u015fl\u0131","sequence":"additional","affiliation":[{"name":"Department of General Surgery Bursa Sevket Y\u0131lmaz Training and Research Hospital  Bursa Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1994.01420330028006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049819"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236564"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-004-0699-9"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90300-X"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463-1318.2003.00435.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-003-2725-x"},{"key":"e_1_2_5_9_1","first-page":"1114","article-title":"New approach to the problem of pilonidal sinus","volume":"2","author":"Karydakis GE","year":"1973","journal-title":"Lancet"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03350.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.11.012"},{"key":"e_1_2_5_12_1","first-page":"297","volume-title":"Colon and Rectal Surgery","author":"Corman ML","year":"1989"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02257787"},{"key":"e_1_2_5_14_1","first-page":"409","article-title":"Z\u2010plasty for treatment of disease of the pilonidal sinus","volume":"155","author":"Mansoory A","year":"1982","journal-title":"Surg. Gynecol. Obstet."},{"key":"e_1_2_5_15_1","first-page":"486","article-title":"Die Morbidit\u00e4t des Z\u2010plastik in der behandlung des pilonidal sinus","volume":"59","author":"Tschudi J","year":"1988","journal-title":"Chirurg"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197760030-00015"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6451-2"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb07208.x"},{"key":"e_1_2_5_19_1","first-page":"411","article-title":"The etiology of pilonidal sinus","volume":"7","author":"Karydakis GE","year":"1975","journal-title":"Hell. Armed Forces Med. Rev."},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800560107"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.12.030"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6729-4"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.01.020"},{"key":"e_1_2_5_24_1","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1177\/000313481307901217","article-title":"Comparison of three surgical flap techniques in pilonidal sinus surgery","volume":"79","author":"Sit M","year":"2013","journal-title":"Am. Surg."},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-007-0227-9"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.12818","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.12818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T06:38:25Z","timestamp":1696487905000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.12818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,21]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1111\/ans.12818"],"URL":"https:\/\/doi.org\/10.1111\/ans.12818","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,21]]},"assertion":[{"value":"2014-07-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-08-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}