{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:20:17Z","timestamp":1778700017436,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,5,29]],"date-time":"2008-05-29T00:00:00Z","timestamp":1212019200000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> Rhomboid transposition flaps are safe and successful in treating recurrent, complex pilonidal disease. There are little data on treatment of very large (&gt;\u200312\u2003cm) pilonidal sinuses. We describe a new technique using two simultaneous rhomboid flaps to achieve primary closure following extensive wide\u2010excision.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> With antibiotic prophylaxis, the sinus is excised en\u2010bloc as a parallelogram (two adjacent rhomboids). Two rhomboid fasciocutaneous flaps are transposed to close this defect over suction\u2010drains. Sutures are removed after 14\u2003days.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Eight patients (seven males) were treated with this technique (median age 26\u2003years; range 22\u201335\u2003years). All had very extensive and recurrent disease, having had multiple previous procedures. Median drain\u2010duration was 2\u2003days (range 1\u20135\u2003days) and postoperative stay was 2\u2003days (range 0\u20135\u2003days). One complication arose: a wound infection with partial dehiscence which healed with conservative treatment. No recurrence or further complication arose in a 33\u2010month follow\u2010up (range 8\u201341\u2003months).<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> This is the first description of the use of two simultaneous rhomboid flaps for very large recurrent pilonidal disease. It is a relatively simple and safe alternative to major plastic reconstruction which is often resorted to in such large\u2010scale disease.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2008.01596.x","type":"journal-article","created":{"date-parts":[[2008,5,29]],"date-time":"2008-05-29T13:18:03Z","timestamp":1212067083000},"page":"313-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Use of a double rhomboid transposition flap in the treatment of extensive complex pilonidal sinus disease"],"prefix":"10.1111","volume":"11","author":[{"given":"S.","family":"El\u2010Tawil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Carapeti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,13]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6451-2"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5074"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.08.068"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2004.02951.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02081415"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820612"},{"key":"e_1_2_5_8_2","first-page":"38","volume-title":"Modern Trends in Plastic Surgery","author":"Limberg AA","year":"1966"},{"key":"e_1_2_5_9_2","first-page":"60","article-title":"Closure of limited loss of cutaneous substance. So\u2010called \u201cLLL\u201d diamond\u2010shaped rotation\u2010flap","volume":"7","author":"Dufourmentel C","year":"1962","journal-title":"Ann Chir Plast"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-003-0037-2"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(03)00163-6"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6811-y"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1479-666X(06)80014-4"},{"issue":"1","key":"e_1_2_5_14_2","first-page":"26","article-title":"Treatment of complex primary and recurrent pilonidal sinus with a rhomboid transposition flap","volume":"93","author":"Kushwaha RS","year":"2006","journal-title":"Br J Surg"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6535-z"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/02844310310006431"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(97)90354-8"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/028443102753575211"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241598750005147"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199609000-00010"},{"key":"e_1_2_5_21_2","first-page":"201","article-title":"Excision and grafting in treatment of recurrent pilonidal sinus disease","volume":"156","author":"Guyuron B","year":"1983","journal-title":"Surg Gynecol Obstet"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2008.01596.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2008.01596.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T15:18:00Z","timestamp":1696951080000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2008.01596.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2,13]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1111\/j.1463-1318.2008.01596.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2008.01596.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,2,13]]},"assertion":[{"value":"2009-02-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}