{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:58:57Z","timestamp":1781873937962,"version":"3.54.5"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"vor","delay-in-days":1062,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T00:00:00Z","timestamp":1555718400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>\n          Background  The efficacy of Limberg flap reconstruction for pilonidal sinus with acute abscess remains unclear. This study aimed to compare outcomes after Limberg flap reconstruction for pilonidal sinus disease with and without acute abscess. A secondary objective was to perform a review of the literature on the topic.<\/jats:p><jats:p>\n          Methods  A retrospective chart review was conducted of all patients who underwent excision and Limberg flap reconstruction for pilonidal sinus from 2009 to 2018. Patient demographics, wound characteristics, and complication rates were reviewed and analyzed.<\/jats:p><jats:p>\n          Results  Group 1 comprised 19 patients who underwent Limberg flap reconstruction for pilonidal sinus disease without acute abscess and group 2 comprised four patients who underwent reconstruction for pilonidal sinus disease with acute abscess. The average defect size after excision was larger in group 2 than group 1 (107.7\u00b160.3 cm2 vs. 61.4\u00b133.8 cm2, respectively). There were no recurrences, seromas or cases of flap necrosis postoperatively. There was only one revision surgery needed for evacuation of a postoperative hematoma in group 1. There were comparable rates of partial wound dehiscence treated by local wound care, hematoma, need for revision surgery and minor infection between group 1 and group 2.<\/jats:p><jats:p>\n          Conclusions  Limberg flap reconstruction for pilonidal sinus in the setting of acute abscess is a viable option with outcomes comparable to that for disease without acute abscess. This practice will avoid the pain and cost associated with a prolonged local wound care regimen involved in drainage of the abscess prior to flap reconstruction.<\/jats:p>","DOI":"10.5999\/aps.2018.01312","type":"journal-article","created":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T08:22:39Z","timestamp":1555662159000},"page":"235-240","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Limberg flap reconstruction for sacrococcygeal pilonidal sinus disease with and without acute abscess: Our experience and a review of the literature"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3489-6031","authenticated-orcid":false,"given":"Catherine J.","family":"Sinnott","sequence":"additional","affiliation":[{"name":"Long Island Plastic Surgical Group, Garden City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9105-7229","authenticated-orcid":false,"given":"Laurence T.","family":"Glickman","sequence":"additional","affiliation":[{"name":"Long Island Plastic Surgical Group, Garden City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref1","author":"FF Ferri","year":"2018"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1056\/NEJM188011181032101","article-title":"Pilo-nidal sinus","volume":"103","author":"RM Hodges","year":"1880","journal-title":"Boston Med Surg J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1111\/j.1445-2197.1992.tb07208.x","article-title":"Easy and successful treatment of pilonidal sinus after explanation of its causative process","volume":"62","author":"GE Karydakis","year":"1992","journal-title":"Aust N Z J Surg"},{"key":"ref4","author":"AA Limberg","year":"1948"},{"key":"ref5","first-page":"38","volume-title":"Modern trends in plastic surgery","author":"AA Limberg","year":"1966"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1002\/bjs.5074","article-title":"Randomized clinical trial comparing primary closure with the Limberg flap in the treatment of primary sacrococcygeal pilonidal disease","volume":"92","author":"T Akca","year":"2005","journal-title":"Br J Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1080\/110241599750006721","article-title":"Treatment of pilonidal sinus by primary closure with a transposed rhomboid flap compared with deep suturing: a prospective randomised clinical trial","volume":"165","author":"KH Abu Galala","year":"1999","journal-title":"Eur J Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.amjsurg.2004.08.068","article-title":"Does technique alter quality of life after pilonidal sinus surgery?","volume":"190","author":"T Ertan","year":"2005","journal-title":"Am J Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s12262-011-0400-9","article-title":"Elliptical excision with midline primary closure versus rhomboid excision with Limberg flap reconstruction in sacrococcygeal pilonidal disease: a prospective, randomized study","volume":"74","author":"TA Dass","year":"2012","journal-title":"Indian J Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.ijsu.2011.02.009","article-title":"Comparison of excision with primary repair versus Limberg flap","volume":"9","author":"A Tavassoli","year":"2011","journal-title":"Int J Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s10151-013-0982-2","article-title":"Which flap method should be preferred for the treatment of pilonidal sinus? A prospective randomized study","volume":"18","author":"K Arslan","year":"2014","journal-title":"Tech Coloproctol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1097\/DCR.0b013e31829d2616","article-title":"Practice parameters for the management of pilonidal disease","volume":"56","author":"SR Steele","year":"2013","journal-title":"Dis Colon Rectum"},{"key":"ref13","author":"H Gray","year":"1918","edition":"20th ed"},{"key":"ref14","first-page":"20","article-title":"Five-year follow-up and recurrence rates following surgery for acute and chronic pilonidal disease: a survey of 421 cases","volume":"28","author":"GT Fahrni","year":"2016","journal-title":"Wounds"},{"key":"ref15","first-page":"5706","article-title":"A new approach: oblique excision and primary closure in the management of acute pilonidal disease","volume":"7","author":"F Ciftci","year":"2014","journal-title":"Int J Clin Exp Med"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"366","DOI":"10.5505\/tjtes.2014.62547","article-title":"Comparison of early surgery (unroofing-curettage) and elective surgery (Karydakis flap technique) in pilonidal sinus abscess cases","volume":"20","author":"BH Kanat","year":"2014","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.amjsurg.2009.05.036","article-title":"Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease","volume":"200","author":"MG Muzi","year":"2010","journal-title":"Am J Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2018-01312.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2018.01312","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2018.01312.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T09:05:07Z","timestamp":1705568707000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2018.01312"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":17,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,3,28]]},"published-print":{"date-parts":[[2019,5]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2018.01312","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"2018-11-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}