{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:21:19Z","timestamp":1778700079975,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T00:00:00Z","timestamp":1573084800000},"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":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pilonidal sinus (PS) is a benign disease for which different treatment modalities are used, varying from non\u2010surgical treatments to surgical treatments with flap use for big defects. High recurrence is the main problem in complicated cases. We presented complete natal cleft excision with kite incision and fasciocutaneous flap (CNCEF with kite incision) in extensive sacrococcygeal PS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010six patients who underwent CNCEF with kite incision because of extensive PS extending through intergluteal sulcus to the anus, with multiple sinus tracts and recurrent PS were retrospectively analysed. A special incision involving natal cleft and all sinus tracts completely and fasciocutaneous flap, lateralizing median line, was used in all cases. Post\u2010operative complications and recurrence was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen (21.1%) patients were operated because of recurrence. The mean age and body mass index were 33.04\u2009\u00b1\u20096.78 and 29.86\u2009\u00b1\u20095.46, respectively. The mean hospital stay period and mean operation time was 2.95\u2009\u00b1\u20090.76\u2009days and 64.33\u2009\u00b1\u20098.64\u2009min, respectively. The mean drain removal time was 2.78\u2009\u00b1\u20090.7\u2009days and mean follow\u2010up was 13.46\u2009\u00b1\u20094.31\u2009months. There were flap oedema and seroma in one (1.3%) and four (5.3%) of the patients, respectively. Surgical site infection necessitating antibiotic treatment developed in three (3.9%) patients. The overall post\u2010operative complication rate was 10.5% and there was recurrence in one patient on follow\u2010up period (1.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CNCEF with kite incision method, which shifts midline, is a safe and reliable method with acceptable post\u2010operative complication and recurrence rates in extensive sacrococcygeal PS patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15550","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T06:18:10Z","timestamp":1573193890000},"page":"533-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Complete natal cleft removal with kite incision in the treatment of extensive sacrococcygeal pilonidal sinus"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6304-3118","authenticated-orcid":false,"given":"Hakan","family":"Ozdemir","sequence":"first","affiliation":[{"name":"Department of General Surgery Haydarpasa Numune Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-9402","authenticated-orcid":false,"given":"Zehra","family":"Unal Ozdemir","sequence":"additional","affiliation":[{"name":"Department of General Surgery Haydarpasa Numune Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-0112","authenticated-orcid":false,"given":"Oguzhan","family":"Sunamak","sequence":"additional","affiliation":[{"name":"Department of General Surgery Haydarpasa Numune Training and Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2017.1329513"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000778"},{"key":"e_1_2_6_4_1","first-page":"1047","article-title":"The use of fibrin glue without surgery in the treatment of pilonidal sinus disease","volume":"7","author":"Isik A","year":"2014","journal-title":"Int. J. Clin. Exp. Med."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2018.03.009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2014.11681024"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-012-0610-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-014-1149-5"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2014.11680977"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.01.008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.10.1146"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb07208.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-012-0762-7"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.08.068"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.02.009"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1639-4"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181587a06"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.03.006"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481608200728"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.899879"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2016.90.5.265"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.9738\/CC86.1"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2017.93.2.82"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.15550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.15550","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.15550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T15:20:56Z","timestamp":1694013656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.15550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,7]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1111\/ans.15550"],"URL":"https:\/\/doi.org\/10.1111\/ans.15550","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,7]]},"assertion":[{"value":"2019-05-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}