{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:21:41Z","timestamp":1778700101565,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to assess Dutch surgical practice and outcomes for acute pilonidal abscess.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients with pilonidal sinus disease (PSD) who underwent surgical treatment between 1 March 2020 and 1 March 2021 at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with an acute abscess were included for analysis. Outcomes included symptoms, wound healing, time to resume daily activities and complications. Follow\u2010up was 1\u2009year and included questionnaires on recurrent abscesses, symptomatic chronic PSD, quality of life and patient\u2010reported experience measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 681 included patients, 208 presented with an acute pilonidal abscess. Incision and drainage (I&amp;D) was performed in 205 of these patients (99%). The wound healing rate after I&amp;D was 42.2% at the outpatient clinic, with a median time to closure of 43\u2009days. The complication rate was 4.4%. One\u2010year questionnaires were completed by 158 out of 205 patients (77.1%). Fifteen patients (7.3%) had a recurrent abscess within 1\u2009year. The symptomatic chronic PSD rate was 8.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Of all the patients presenting with PSD in this prospective national study cohort, 30% had a pilonidal abscess. Incision and drainage showed a low complication rate but successful wound healing in less than half of the patients. The study showed that 91.2% of patients did not undergo additional surgical treatment for symptomatic chronic PSD within 1\u2009year of follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.17254","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T07:04:23Z","timestamp":1733382263000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Acute pilonidal abscess: Prospective nationwide audit in the Netherlands"],"prefix":"10.1111","volume":"27","author":[{"given":"Eleonora A.","family":"Huurman","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology and Gastrointestinal Surgery Erasmus MC Cancer Institute  Rotterdam The Netherlands"},{"name":"Department of Surgery Albert Schweitzer Hospital  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. A. Sophie","family":"den Otter","sequence":"additional","affiliation":[{"name":"Department of Surgery Albert Schweitzer Hospital  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christel A. L.","family":"de Raaff","sequence":"additional","affiliation":[{"name":"Department of Surgery Albert Schweitzer Hospital  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosaline","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Department of Surgery Albert Schweitzer Hospital  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara J.","family":"Baart","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Erasmus MC  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bas P. 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