Akademik Veri Yönetim Sistemi
XX. Ulusal ve III. Uluslararası Türk Kolon ve Rektum Cerrahisi Kongresi, Antalya, Türkiye, 16 - 20 Mayıs 2025, ss.120-121, (Özet Bildiri)
Objective: The primary objective of this report is to present expert opinions on controversial aspects of pilonidal disease (PD) and identify critical areas requiring future research. We aimed to provide practical guidance for surgeons while highlighting key knowledge gaps that need to be addressed through prospective studies.
Materials-Methods: The TSCRS PD working group established a steering committee to address controversial issues in the management of PD. The committee’s responsibilities included defining research objectives and timelines, conducting a comprehensive literature review, analyzing voting outcomes, documenting results, preparing the manuscript, and promoting dissemination through publications and presentations. A literature review was conducted using various databases (MEDLINE, PubMed, Cochrane, CINAHL, EMBASE) to identify articles from 2013-2023. Exclusions were made for pediatric studies and those concerning PD outside the natal cleft. 459 articles were selected to guide survey question development.Experts with significant publications in PD between 2013-2023 were invited to participate in a Delphi study, with 172 experts contacted and 98 agreeing to participate. Of these, 52 completed at least two rounds of the process.
Results: Expert opinions were obtained on classification, severity, complexity, diagnosis, mapping, acute abscess, minimally invasive treatments, excisional treatments, recurrent/persistent pilonidal disease, regional care and hair removal, perioperative care and antibiotics, and postoperative care, and results were analyzed on controversial issues.
Conclusion: This Delphi survey aimed to explore issues that are not widely discussed in the literature but are common in clinical practice. The results highlight a significant need for prospective, comprehensive studies, especially on topics such as disease classification, the need for definitive treatment after acute abscess drainage, hair removal, and dressing application.