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Abstract：
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.
摘要：
背景尽管藏毛窦病是一个普遍的问题，它的管理仍然存在许多挑战和争议。这项研究旨在评估伊拉克库尔德斯坦地区外科医生在处理藏毛窦方面的经验和做法，并确定最优选的治疗方法，复发率,以及其他与不同治疗方法有关的并发症。方法这项横断面研究是在2024年1月至2月伊拉克库尔德斯坦地区的104名外科医生的便利样本中进行的，使用基于GoogleForms的在线调查。为数据收集制定了问卷，其中包括有关藏毛窦治疗的经验和实践的数据。结果研究参与者管理藏毛窦最常见的手术包括原发性开放（n=61/104，58.7％），其次是主要封闭（n=20/104，19.2%）。执行特定程序来管理藏毛窦的最常见原因或优点是复发率较低（n=73/104，70.2%），更安全的程序(n=60/104，57.7%)，手术时间较短(n=57/104，54.8%)，住院时间较短（n=53/104，51.0%）。初级开放法是最常用的方法(n=46/104，44.3%)，其次是单纯切开引流术（n=25/104，24.0%），初级闭合（n=23/104，22.1%），和离线中线闭合（n=10/104，9.6%）。大多数参与者同意，原发性开腹具有最低的复发率（n=68/104，65.4％），而单纯切开引流（n=50/104，48.1%）和初次闭合（n=29/104，27.9%）与频繁复发相关。结论藏毛窦疾病的标准治疗仍不可用。伊拉克库尔德斯坦地区的大多数外科医生更喜欢开放的方法，这是最简单的，最安全,和最低经常性产量法。然而,最痛苦，恢复时间最长。
