{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:26:15Z","timestamp":1787916375223,"version":"build-2784847793"},"reference-count":23,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; The purpose of this study was to examine the recurrence rate of wound rupture in primary pilonidal sinus disease (PSD) after median closure. &lt;b&gt;&lt;i&gt;Subjects and Methods:&lt;\/i&gt;&lt;\/b&gt; A total of 583 patients from the German military cohort were interviewed. We compared the choice of surgical therapy, wound dehiscence (if present) and long-term recurrence-free survival for patients with primary open treatment, marsupialization and primary median treatment (closed vs. secondary open, respectively). Actuarial recurrence rate was determined using the Kaplan-Meier calculation with a follow-up of up to 20 years after primary PSD surgery. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Patients with excision followed by primary open wound treatment showed a significantly lower 5- than 10-year recurrence rate (8.3 vs. 11.2%) compared to the patients with primary midline closure (17.4 vs. 20.5%, p = 0.03). The 20-year recurrence rate was 28% in primary open wound treatment versus 44% in primary midline closure without wound rupture. In contrast to these findings, long-term recurrence rates following secondary open wound treatment (12.2% at 5 years vs. 17.1% at 10 years) tended to be higher (although not significantly, p = 0.57) compared to primary open treatment (8.3% at 5 years vs. 11.2% at 10 years). There was no statistical difference in long-term recurrence rates between secondary open and primary midline closure (p = 0.7). Hence, despite only a short wound closure time experienced before wound rupture, the patient does not fully benefit from an open wound treatment in terms of recurrence rate. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; The postoperative pilonidal sinus wound rupture of primary midline closures did not significantly increase the 5- and 10-year long-term recurrence rates compared to uneventfully healing primary midline closures.<\/jats:p>","DOI":"10.1159\/000437361","type":"journal-article","created":{"date-parts":[[2015,9,3]],"date-time":"2015-09-03T21:05:44Z","timestamp":1441314344000},"page":"571-577","source":"Crossref","is-referenced-by-count":17,"title":["Does Full Wound Rupture following Median Pilonidal Closure Alter Long-Term Recurrence Rate?"],"prefix":"10.1159","volume":"24","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":"Markus M.","family":"Luedi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"van Zypen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Novotny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2015,9,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(46)91756-4"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(55)93376-6"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(74)80001-1"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a87607"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0389-5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39517.808160.BE"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006213.pub3"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-013-1731-8"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-9031-4"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/11024150201680007"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004921421"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800571204"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12310"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.07.038"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10353-011-0615-9"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1024-9"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12274"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(01)00876-5"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0476-2"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12243"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-015-2130-0"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-013-1731-8"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1159\/000285292"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/437361","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/437361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/437361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:39:38Z","timestamp":1745429978000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000437361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":23,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,10,1]]},"published-print":{"date-parts":[[2015,10,29]]}},"URL":"https:\/\/doi.org\/10.1159\/000437361","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"value":"1011-7571","type":"print"},{"value":"1423-0151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}