{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T09:24:06Z","timestamp":1769073846290,"version":"3.49.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,6,3]],"date-time":"2014-06-03T00:00:00Z","timestamp":1401753600000},"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":["International Wound Journal"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pilonidal sinus surgery could, as of now, be considered a surgery tailored more to the surgeon than to the patient. In an attempt to give to surgeons an objective instrument of decision, we have evaluated which variables could be considered predictive of postoperative complications after pilonidal sinus surgery. A prospective electronic database of all patients treated for sacrococcygeal pilonidal disease was analysed. Sex, age, obesity, smoking, recurrent disease, the presence of multiple orifices and the distance between the most lateral orifice and midline were recorded and correlated with the occurrence of postoperative complications (infection and recurrence); 1006 patients were evaluated. Excision with primary mid\u2010line closure was performed on all the patients. Mean follow\u2010up was 7\u00b73\u2009\u00b1\u20093\u00b76\u2009years. A total of 158 patients with postoperative complications (infection and\/or recurrence) were recorded during this period. A multivariate analysis showed that, after adjusting for major clinical and demographic characteristics, only a recurrent disease [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>): 3\u00b741, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>): 1\u00b789\u20136\u00b715, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090\u00b7001] and the distance of lateral orifice from midline (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 26\u00b73, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 12\u00b72\u201356\u00b77, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090\u00b7001) were independent predictors of overall postoperative complications. Focussing on the distance from midline, the receiver operative characteristic (<jats:styled-content style=\"fixed-case\">ROC<\/jats:styled-content>) analysis showed that the distance of lateral orifice from midline predicted 79\u00b72% of complications and the Youden's test identified the best cut\u2010off as 2\u00b70\u2009cm for this variable. An evidence\u2010based tool for deciding on the type of surgical intervention could be developed and validated by further ad hoc prospective studies evaluating our results in comparison to other different types of surgical techniques. Our results support the use of these variables as an effective way to tailor pilonidal sinus surgery to the patient, so as to obtain the best results in patient care.<\/jats:p>","DOI":"10.1111\/iwj.12310","type":"journal-article","created":{"date-parts":[[2014,6,4]],"date-time":"2014-06-04T03:01:24Z","timestamp":1401850884000},"page":"349-353","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Pilonidal sinus surgery: could we predict postoperative complications?"],"prefix":"10.1111","volume":"13","author":[{"given":"Marco","family":"Milone","sequence":"first","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo ND","family":"Di Minno","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Bianco","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guido","family":"Coretti","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Musella","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Milone","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences University of Naples \u2018Federico II\u2019  Naples 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