Haweizy Rawand M
Department of Surgery, College of Medicine, Hawler Medical University, Erbil, IRQ.
Cureus. 2024 Jun 10;16(6):e62115. doi: 10.7759/cureus.62115. eCollection 2024 Jun.
Background Despite pilonidal sinus disease being a prevalent issue, there are still many challenges and controversies regarding its management. This study aimed to evaluate the experiences and practices of surgeons in the Kurdistan region of Iraq in the management of the pilonidal sinus and determine the most preferred treatment method, recurrence rates, and other complications related to different treatment methods. Methods This cross-sectional study was conducted on a convenience sample of 104 surgeons in the Kurdistan region of Iraq from January to February 2024 using an online survey based on Google Forms. A questionnaire was developed for data collection that included data on the experience and practice of pilonidal sinus treatment. Results The most common procedure followed by the study participants to manage the pilonidal sinus included primary open (n = 61/104, 58.7%), followed by primary closure (n = 20/104, 19.2%). The most common reasons or advantages for performing specific procedures to manage the pilonidal sinus were a lower recurrence rate (n = 73/104, 70.2%), safer procedures (n = 60/104, 57.7%), shorter operation times (n = 57/104, 54.8%), and shorter hospital stays (n = 53/104, 51.0%). The primary open method was the most commonly used method (n = 46/104, 44.3%), followed by simple incision and drainage (n = 25/104, 24.0%), primary closure (n = 23/104, 22.1%), and off-midline closure (n = 10/104, 9.6%). Most of the participants agreed that the primary open had the lowest recurrence rate (n = 68/104, 65.4%), while simple incision and drainage (n = 50/104, 48.1%) and primary closure (n = 29/104, 27.9%) were associated with frequent recurrence. Conclusions Standard treatment of pilonidal sinus disease is still not available. Most surgeons in the Kurdistan region of Iraq prefer the open method, which is the easiest, safest, and least recurrent yield method. However, it is the most painful and has the longest recovery time.
背景 尽管藏毛窦疾病是一个普遍存在的问题，但在其治疗方面仍存在许多挑战和争议。本研究旨在评估伊拉克库尔德地区外科医生在藏毛窦治疗方面的经验和做法，并确定最常用的治疗方法、复发率以及与不同治疗方法相关的其他并发症。方法 本横断面研究于2024年1月至2月对伊拉克库尔德地区104名外科医生进行便利抽样，采用基于谷歌表单的在线调查。设计了一份问卷用于收集数据，内容包括藏毛窦治疗的经验和做法。结果 研究参与者治疗藏毛窦最常用的方法包括一期开放（n = 61/104，58.7%），其次是一期缝合（n = 20/104，19.2%）。进行特定藏毛窦治疗手术最常见的原因或优点是复发率较低（n = 73/104，70.2%）、手术更安全（n = 60/104，57.7%）、手术时间较短（n = 57/104，54.8%）以及住院时间较短（n = 53/104，51.0%）。一期开放方法是最常用的方法（n = 46/104，44.3%），其次是单纯切开引流（n = 25/104，24.0%）、一期缝合（n = 23/104，22.1%）和偏中线缝合（n = 10/104，9.6%）。大多数参与者认为一期开放的复发率最低（n = 68/104，65.4%），而单纯切开引流（n = 50/104，48.1%）和一期缝合（n = 29/104，27.9%）与频繁复发相关。结论 藏毛窦疾病的标准治疗方法仍然不存在。伊拉克库尔德地区的大多数外科医生更喜欢开放方法，这是最简单、最安全且复发率最低的方法。然而，它是最痛苦的，恢复时间最长。
