{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:36:12Z","timestamp":1791419772755,"version":"4.3.3"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>Sacrococcygeal pilonidal disease (SPD) is a global concern, notably in Southeast Europe and the Middle East. Unroofing curettage (UC), which provides faster recovery, better cosmetic appearance, and lower recurrence rates in the primary cases, was evaluated with the results of recurrent disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included 74 patients with recurrent disease who were over 16 years of age, experienced recurrence after at least one surgical attempt, and underwent unroofing curettage between 2007 and 2019. Operation time, return to work duration, and recurrence rates were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age of patients was 29.8\u2009\u00b1\u200910.6 years, and 61 (82.4%) were male. Previous procedures included excision\u2009+\u2009flap reconstruction, excision\u2009+\u2009primary closure, and local excision\u2009+\u2009lay open. Mean operation time for unroofing curettage was 22\u2009\u00b1\u20095.3\u2005min. Mean durations for return to work and recovery were 5.9\u2009\u00b1\u20093 days, and 6.5\u2009\u00b1\u20092.6 weeks, respectively. Mean follow-up duration was 81.6\u2009\u00b1\u200949 months. Recurrence was only observed in 1 (1.3%) patient. Unroofing curettage showed a mean recurrence-free period of 156.9 months (95% CI [, 152.9\u2013160.9 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Unroofing curettage stands out as a low-recurrence approach, likely to persist as a treatment method, especially for a selected group with recurrence.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2024.1456846","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T06:30:42Z","timestamp":1732084242000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Unroofing and curettage for recurrent sacrococcygeal pilonidal disease"],"prefix":"10.3389","volume":"11","author":[{"given":"Mehmet Ali","family":"Koc","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haydar","family":"Celasin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaan","family":"Sunter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cihangir","family":"Akyol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim Ethem","family":"Gecim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"15111","DOI":"10.1038\/s41598-019-51159-z","article-title":"Impact of geography and surgical approach on recurrence in global pilonidal sinus disease","volume":"9","author":"Doll","year":"2019","journal-title":"Sci 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