{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:59:00Z","timestamp":1781873940885,"version":"3.54.5"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:00:00Z","timestamp":1350604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Background:<\/jats:bold> It has long been suspected that acute infection leads to less satisfactory results in soft tissue surgery. Its influence on long\u2010term recurrence rate in primary pilonidal sinus surgery has not been investigated yet.<\/jats:p><jats:p><jats:bold>Patients and Methods:<\/jats:bold> 583 patients (military cohort) were analyzed, comparing an incision and drainage (I&amp;D) group preceding surgery (n = 286 pts) with a spontaneous abscess and empyema rupture group (n = 297 pts). Long\u2010term recurrence rate up to 25 years following surgery was determined.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The I&amp;D group achieved a 20 year recurrence rate of 24 %, whereas the non\u2010I&amp;D\u2010group had 35 % recurrences (p = 0.0034). Analyzing the subgroup with primary open wound treatment (n = 349 pts), the I&amp;D group did significantly better after 20 years (16 % actuarial recurrence rate versus 34 %; p = 0.009; log\u2010rank\u2010test).<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Early I&amp;D treatment preceding definite surgery for some weeks seem to give significant superior results compared to primary surgery without I&amp;D. The combination of early I&amp;D and asymmetric excision and out of the midline closure is expected to give even further improved results compared to this cohort. The optimum interval between I&amp;D and definite surgery has still to be determined.<\/jats:p>","DOI":"10.1111\/j.1610-0387.2012.08007.x","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T08:02:18Z","timestamp":1350633738000},"page":"60-64","source":"Crossref","is-referenced-by-count":12,"title":["Incision and drainage preceding definite surgery achieves lower 20\u2010year long\u2010term recurrence rate in 583 primary pilonidal sinus surgery patients"],"prefix":"10.1111","volume":"11","author":[{"given":"Dietrich","family":"Doll","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edouard","family":"Matevossian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hoenemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,19]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"227","article-title":"Treatment of acutely infected pilonidal cyst and sinus by a two\u2010stage operation","volume":"10","author":"Rhea RL","year":"1953","journal-title":"Med Bull US Army Eur"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0393-9"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a87607"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770203"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6451-2"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0672-5"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181972505"},{"key":"e_1_2_7_9_2","first-page":"799","article-title":"[Trends in incidence and long\u2010term recurrence rate of pilonidal sinus disease and analysis of associated influencing factors]","volume":"9","author":"Evers T","year":"2011","journal-title":"Zhonghua Wai Ke Za Zhi"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0389-5"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-9031-4"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.09.005"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0476-2"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.05.039"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04166.x"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/11024150201680007"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.06.019"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00298540"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9329-x"}],"container-title":["JDDG: Journal der Deutschen Dermatologischen Gesellschaft"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1610-0387.2012.08007.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1610-0387.2012.08007.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T19:39:28Z","timestamp":1697657968000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1610-0387.2012.08007.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,19]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/j.1610-0387.2012.08007.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1610-0387.2012.08007.x","archive":["Portico"],"relation":{},"ISSN":["1610-0379","1610-0387"],"issn-type":[{"value":"1610-0379","type":"print"},{"value":"1610-0387","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,19]]}}}