{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:21:24Z","timestamp":1778700084431,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,8,14]],"date-time":"2014-08-14T00:00:00Z","timestamp":1407974400000},"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":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sacro\u2010coccygeal pilonidal sinus disease is classified as an asymptomatic, acutely abscess\u2010forming or chronic subcutaneous inflammation in the sacro\u2010coccygeal region featuring characteristic pits in the bottom cleft. Due to high rates of recurrence, two flap techniques have been established in the course of the past three decades. One of them is the Karydakis operation, the other option is a rotation flap named Limberg procedure. We report about a case of suture granuloma in the area of a Limberg flap after recurrent pilonidal sinus with extrusion of the suture material, thus mimicking recurrence. In case of recurrent pilonidal sinus following plastic coverage or primary closure, respectively, the differential diagnosis of suture granuloma should be considered.<\/jats:p>","DOI":"10.1111\/iwj.12341","type":"journal-article","created":{"date-parts":[[2014,8,14]],"date-time":"2014-08-14T13:23:30Z","timestamp":1408022610000},"page":"583-585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Suture granuloma mimicking a recurrent sacro\u2010coccygeal pilonidal sinus after Limberg flap"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8764-9237","authenticated-orcid":false,"given":"Michael","family":"Ardelt","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Vascular Surgery University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Dittmar","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Vascular Surgery University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birte","family":"Schulz","sequence":"additional","affiliation":[{"name":"Department of Pathology University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Falk","family":"Rauchfuss","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Vascular Surgery University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hubert","family":"Scheuerlein","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Vascular Surgery University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utz","family":"Settmacher","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Vascular Surgery University Hospital of Jena  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,14]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"118","article-title":"Light and scanning electron microscopy study of the pathogenesis of pilonidal sinus and anal fistula","volume":"377","author":"Dahl HD","year":"1992","journal-title":"Langenbecks Arch Chir"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2011.00925.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2011.00874.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00104-003-0616-8"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(73)92803-1"},{"key":"e_1_2_6_7_1","first-page":"38","article-title":"Design of local flaps","volume":"2","author":"Limberg AA","year":"1966","journal-title":"Mod Trends Plast Surg"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2006.32156.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(00)00364-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u2010481X.2012.01096.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12274"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12341","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T11:07:35Z","timestamp":1696244855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,14]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/iwj.12341"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12341","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,14]]},"assertion":[{"value":"2014-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-08-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}