{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:21:34Z","timestamp":1778700094881,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T00:00:00Z","timestamp":1652745600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Flap procedures following pilonidal excision have high recurrence and dehiscence rates. We present a cosmetic, outpatient technique to reconstruction via bilateral gluteal fasciocutaneous advancement flaps with and without tie-over sutures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a prospective case series of 51 patients (40 males and 11 females). Following elliptical excision of pilonidal disease, gluteal fasciocutaneous advancement flaps were elevated circumferentially using blunt, discontinuous dissection, and a multilayered closure was performed. The resulting scar was midline. Thirty-five patients (68.6%) also had two full-thickness, compressing sutures tied over rolled up gauze.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients had a mean age of 28.2 and body mass index of 26.8. Eight (15.9%) were smokers and 11 (21.6%) were obese. At a mean follow-up of 38.7\u00a0months, there were no recurrences and 19 (37.3%) patients had wound dehiscence. There was no significant difference in dehiscence between patients with and without tie-over sutures (31.4% vs 50%, P = 0.20). There was no significant difference in dehiscence between smokers and non-smokers, (62.5% vs 41.9%, P = 0.47), or between obese and non-obese patients (36.4% vs 46.3%, P = 0.51). Obese patients with tie-over sutures had significantly less dehiscence compared to obese patients without tie-over sutures (14% vs 75%, P = 0.03).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bilateral gluteal fasciocutaneous advancement flap with consideration of tie-over sutures is an outpatient treatment for chronic pilonidal disease with resultant midline scar and with no recurrence in our series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221075731","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T18:40:32Z","timestamp":1652899232000},"page":"2499-2504","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral Gluteal Fasciocutaneous Advancement Flaps With and Without Tie-Over Sutures in Treatment of Chronic Pilonidal Disease: A Prospective Case Series"],"prefix":"10.1177","volume":"89","author":[{"given":"Yosef","family":"Nasseri","sequence":"first","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"},{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Oka","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Soliman","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1209-7511","authenticated-orcid":false,"given":"Eli","family":"Kasheri","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruoyan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Cohen","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"},{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshe","family":"Barnajian","sequence":"additional","affiliation":[{"name":"Surgery Group Los Angeles, Los Angeles, CA, USA"},{"name":"Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,5,17]]},"reference":[{"key":"bibr1-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-1584-9_15"},{"key":"bibr2-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/s101510300001"},{"key":"bibr3-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/BF00337585"},{"key":"bibr4-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e31819f6189"},{"key":"bibr5-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.10.1146"},{"key":"bibr6-00031348221075731","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.132936"},{"key":"bibr7-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1177\/145749690509400111"},{"key":"bibr8-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.02.009"},{"key":"bibr9-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001237"},{"key":"bibr10-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01509.x"},{"key":"bibr11-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-008-3926-0"},{"key":"bibr12-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2111-9"},{"key":"bibr13-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.03.006"},{"key":"bibr14-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1177\/000313481608200728"},{"key":"bibr15-00031348221075731","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000784"}],"container-title":["The 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