{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:18:47Z","timestamp":1772165927307,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T00:00:00Z","timestamp":1618617600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T00:00:00Z","timestamp":1618617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgical wound infection contributes to prolonged recovery time after pilonidal sinus excision. As a standard procedure after surgery, we recommend our patients to perform water irrigations in the intergluteal cleft 4 to 6 times a day during the post-operative period. Our hypothesis is that this should reduce healing time and complication rates. The aim of this study was to measure the importance of sacro coccygeal hygiene in the management of pilonidal sinus disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively collected data after surgical management of pilonidal sinus (sinusectomy procedures) in our division over a 10-year period. Patients were divided into three groups according to their local hygiene during postoperative follow-up and scored one (G1: good hygiene) to three (G3: poor hygiene). Primary outcome was complication rates. Secondary endpoints were, healing time, follow-up, time off work, and recurrence rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In G1 (N\u2009=\u2009112), complication rate was 3.6%. In G2 (N\u2009=\u2009109), it was 5.5%, whereas in G3 (N\u2009=\u200971), it reached 7.03%. However, there were no statistically significant differences between hygiene groups regarding complication rates in both univariate and multivariable analysis. Regarding secondary outcomes, there were significant differences between hygiene groups concerning median follow-up (p\u2009=\u20090.0001) and median time off work (p\u2009=\u20090.0127).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Good hygiene of wound is essential for optimal, rapid healing without complications. The importance of this report is to show that thanks to our hygiene follow-up strategy with frequent perineal irrigations and regular follow-up checks, patients with at a first glance \u201cunclean local conditions\u201d, reached similar complications, median healing time and recurrences rates to patients with medium and good wound hygiene level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-021-01204-4","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T07:02:21Z","timestamp":1618642941000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sacro-coxxygial hygiene, a key factor in the outcome of pilonidal sinus surgical treatment?"],"prefix":"10.1186","volume":"21","author":[{"given":"Arnaud","family":"Dupuis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niki","family":"Christou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorota","family":"Teterycz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Balaphas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Robert-Yap","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaume","family":"Zufferey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karel","family":"Skala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam","family":"Alketbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie","family":"Liot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas C.","family":"Buchs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Roche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Ris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,17]]},"reference":[{"issue":"6","key":"1204_CR1","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1016\/S0039-6109(02)00062-2","volume":"82","author":"TL Hull","year":"2002","unstructured":"Hull TL, Wu J. Pilonidal disease. Surg Clin. 2002;82(6):1169\u201385.","journal-title":"Surg Clin"},{"key":"1204_CR2","first-page":"46","volume-title":"Observations on injuries and diseases of the rectum","author":"OH Mayo","year":"1833","unstructured":"Mayo OH. Observations on injuries and diseases of the rectum. London: Burgess and Hill; 1833. p. 46\u201346."},{"issue":"1","key":"1204_CR3","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1007\/BF00337585","volume":"10","author":"K S\u00f8ndenaa","year":"1995","unstructured":"S\u00f8ndenaa K, Andersen E, Nesvik I, S\u00f8reide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis. 1995;10(1):39\u201342.","journal-title":"Int J Colorectal Dis"},{"issue":"5","key":"1204_CR4","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1111\/j.1445-2197.1992.tb07208.x","volume":"62","author":"GE Karydakis","year":"1992","unstructured":"Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg. 1992;62(5):385\u20139.","journal-title":"Aust N Z J Surg"},{"issue":"4","key":"1204_CR5","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s00384-007-0389-5","volume":"23","author":"D Doll","year":"2008","unstructured":"Doll D, Friederichs J, Dettmann H, Boulesteix A-L, Duesel W, Petersen S. Time and rate of sinus formation in pilonidal sinus disease. Int J Colorectal Dis. 2008;23(4):359\u201364.","journal-title":"Int J Colorectal Dis"},{"issue":"12","key":"1204_CR6","doi-asserted-by":"publisher","first-page":"1619","DOI":"10.1007\/s00384-011-1169-9","volume":"26","author":"J Shabbir","year":"2011","unstructured":"Shabbir J, Chaudhary BN, Britton DC. Management of sacrococcygeal pilonidal sinus disease: a snapshot of current practice. Int J Colorectal Dis. 2011;26(12):1619\u201320.","journal-title":"Int J Colorectal Dis"},{"key":"1204_CR7","doi-asserted-by":"crossref","unstructured":"AL\u2010Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev [Internet]. 2010 [cited 2018 Dec 5];(1). https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006213.pub3\/abstract.","DOI":"10.1002\/14651858.CD006213.pub3"},{"issue":"5","key":"1204_CR8","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.surge.2018.03.009","volume":"16","author":"M Milone","year":"2018","unstructured":"Milone M, Velotti N, Manigrasso M, Anoldo P, Milone F, De Palma GD. Long-term follow-up for pilonidal sinus surgery: a review of literature with metanalysis. The Surgeon. 2018;16(5):315\u201320.","journal-title":"The Surgeon"},{"issue":"4","key":"1204_CR9","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1002\/bjs.1800520413","volume":"52","author":"PH Lord","year":"1965","unstructured":"Lord PH, Millar DM. Pilonidal sinus: a simple treatment. BJS. 1965;52(4):298\u2013300.","journal-title":"BJS"},{"issue":"5","key":"1204_CR10","first-page":"567","volume":"87","author":"J Bascom","year":"1980","unstructured":"Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery. 1980;87(5):567\u201372.","journal-title":"Surgery"},{"key":"1204_CR11","doi-asserted-by":"crossref","unstructured":"Sevin\u00e7 B. Treatment of pilonidal disease. 2017;1\u20134.","DOI":"10.4103\/2468-5585.179563"},{"issue":"2","key":"1204_CR12","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.jpedsurg.2017.11.031","volume":"53","author":"HM Mutus","year":"2018","unstructured":"Mutus HM, Aksu B, Uzun E, Gulcin N, Gercel G, Ozatman E, et al. Long-term analysis of surgical treatment outcomes in chronic pilonidal sinus disease. J Pediatr Surg. 2018;53(2):293\u20134.","journal-title":"J Pediatr Surg"},{"key":"1204_CR13","doi-asserted-by":"crossref","unstructured":"McCallum I, King PM, Bruce J, AL\u2010Khamis A. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev [Internet]. 2007 [cited 2018 Dec 5];(4). https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD006213.pub2\/abstract.","DOI":"10.1002\/14651858.CD006213.pub2"},{"issue":"6","key":"1204_CR14","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1002\/bjs.1800820612","volume":"82","author":"I Matter","year":"1995","unstructured":"Matter I, Kunin J, Schein M, Eldar S. Total excision versus non-resectional methods in the treatment of acute and chronic pilonidal disease. BJS. 1995;82(6):752\u20133.","journal-title":"BJS"},{"issue":"11","key":"1204_CR15","doi-asserted-by":"publisher","first-page":"1656","DOI":"10.1007\/s10350-008-9329-x","volume":"51","author":"M Gips","year":"2008","unstructured":"Gips M, Melki Y, Salem L, Weil R, Sulkes J. Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum. 2008;51(11):1656\u201363.","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"1204_CR16","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1007\/s10151-017-1722-9","volume":"22","author":"AA Pronk","year":"2018","unstructured":"Pronk AA, Eppink L, Smakman N, Furnee EJB. The effect of hair removal after surgery for sacrococcygeal pilonidal sinus disease: a systematic review of the literature. Tech Coloproctology. 2018;22(1):7\u201314.","journal-title":"Tech Coloproctology"},{"issue":"12","key":"1204_CR17","doi-asserted-by":"publisher","first-page":"e276","DOI":"10.1016\/S1473-3099(16)30398-X","volume":"16","author":"B Allegranzi","year":"2016","unstructured":"Allegranzi B, Bischoff P, de Jonge S, Kubilay NZ, Zayed B, Gomes SM, et al. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16(12):e276\u201387.","journal-title":"Lancet Infect Dis"},{"key":"1204_CR18","doi-asserted-by":"publisher","unstructured":"Andersen BM. Prevention of postoperative wound infections. In: Andersen BM, (ed). Prevention and control of infections in hospitals: practice and theory [Internet]. Cham: Springer International Publishing; 2019 [cited 2019 Apr 12]. p. 377\u2013437. https:\/\/doi.org\/10.1007\/978-3-319-99921-0_33.","DOI":"10.1007\/978-3-319-99921-0_33"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01204-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-021-01204-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01204-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T07:03:12Z","timestamp":1618642992000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01204-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,17]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1204"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01204-4","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-186183\/v1","asserted-by":"object"}]},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,17]]},"assertion":[{"value":"29 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All the authors of this study confirm that they have no conflicts of interest. All methods were carried out in accordance with relevant guidelines and regulations. Protocol was approved by a named institutional local committee of University Hospital of Geneva.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent for participate"}},{"value":"All the patients were informed about this study and declared non-opposition to the study. More precisely, informed consent was obtained from all subjects or, if subjects were under 18, from a parent and\/or legal guardian.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All the patients were informed about this study and declared non-opposition to the study and its publication.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"No conflicts of interests for all the authors.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"197"}}