Original Article

IJMDC. 2019; 3(10): 34-39

Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia

Authors: Abdullah Abed Alghuraybi, Mazen Abdulmohsen Almalki, Abdulaziz Hameed Althumali, Abdulaziz Mohammed Alshalawi, Rayan Ibrahim Maghrabi, Faisal Alotaibi, Tamer Mohammed Abdelrahman.

ABSTRACT

Background: A pilonidal sinus disease (PNSD) is a chronic inflammatory disease, which mainly affects the young and active people of working age group. Since its high rate and recurrence, the aim of this study was to identify surgeon's attitude and current practices among surgeons, in relation to the most effective technical aspects and surgical procedures for elective management of PNSD. Methodology: A cross-sectional study was designed to assess the attitudes and practices of surgeons of Taif city, Saudi Arabia, during the period from 1 January to 31 January 2019. Data were collected by distributing a pre-designed structured questionnaire. Results: From 100 surveys, 79 surgeons responded. About half of respondent surgeons (N = 42) performed off-midline flap procedures; karydakis (N = 22), limberg (N = 18), cleft lift (N = 2), and duformental (N = 0). 20.3% of surgeons performed excision and open wound healing, 15.2% performed primary midline closure, and 11.4% performed pit procedures. Conclusion: There is no agreement among surgical consultants about the best management of PNSD. It is accepted that evidence-based medicine dictates that a firm conclusion regarding the superiority of one form of management over another requires a prospective double blind controlled study involving randomly selected patients.

Keywords:
Pilonidal sinus disease, PNSD, off-midline flap, open wound healing, surgeon.


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Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia


Authors
Abdullah Abed Alghuraybi
College of Medicine, Taif University, Taif, Saudi Arabia
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Mazen Abdulmohsen Almalki
College of Medicine, Taif University, Taif, Saudi Arabia
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Abdulaziz Hameed Althumali
College of Medicine, Taif University, Taif, Saudi Arabia
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Abdulaziz Mohammed Alshalawi
College of Medicine, Taif University, Taif, Saudi Arabia
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Rayan Ibrahim Maghrabi
College of Medicine, Taif University, Taif, Saudi Arabia
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Faisal Alotaibi
Department of Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
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Tamer Mohammed Abdelrahman
Assistant professor, Department of Surgery, College of Medicine, Taif University, Taif, Saudi Arabia, Consultant of general surgery, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt.
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Correspondence to:
. Department of Surgery, College of Medicine, Taif University, Taif, Saudi Arabia, Consultant of general surgery, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt.; drtamer17@gmail.com

Publication history
Received 25 Jun 2019
Accepted 22 Jul 2019
Published online 31 Aug 2019
Published in print 26 Sep 2019

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Pubmed Style

Alghuraybi AA, MAA, Althumali AH, Alshalawi AM, Maghrabi RI, Alotaibi F, Abdelrahman TM. Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. IJMDC. 2019; 3(10): 34-39. doi:10.24911/IJMDC.51-1561502305


Web Style

Alghuraybi AA, MAA, Althumali AH, Alshalawi AM, Maghrabi RI, Alotaibi F, Abdelrahman TM. Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. http://www.ijmdc.com/?mno=54191 [Access: October 18, 2019]. doi:10.24911/IJMDC.51-1561502305


AMA (American Medical Association) Style

Alghuraybi AA, MAA, Althumali AH, Alshalawi AM, Maghrabi RI, Alotaibi F, Abdelrahman TM. Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. IJMDC. 2019; 3(10): 34-39. doi:10.24911/IJMDC.51-1561502305


Vancouver/ICMJE Style

Alghuraybi AA, MAA, Althumali AH, Alshalawi AM, Maghrabi RI, Alotaibi F, Abdelrahman TM. Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. IJMDC. (2019), [cited October 18, 2019]; 3(10): 34-39. doi:10.24911/IJMDC.51-1561502305


Harvard Style

Alghuraybi, A. A., , . M. A. A., Althumali, . A. H., Alshalawi, . A. M., Maghrabi, . R. I., Alotaibi, . F. & Abdelrahman, . T. M. (2019) Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. IJMDC, 3 (10), 34-39. doi:10.24911/IJMDC.51-1561502305


Turabian Style

Alghuraybi, Abdullah Abed, Mazen Abdulmohsen Almalki, Abdulaziz Hameed Althumali, Abdulaziz Mohammed Alshalawi, Rayan Ibrahim Maghrabi, Faisal Alotaibi, and Tamer Mohammed Abdelrahman. 2019. Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. International Journal of Medicine in Developing Countries, 3 (10), 34-39. doi:10.24911/IJMDC.51-1561502305


Chicago Style

Alghuraybi, Abdullah Abed, Mazen Abdulmohsen Almalki, Abdulaziz Hameed Althumali, Abdulaziz Mohammed Alshalawi, Rayan Ibrahim Maghrabi, Faisal Alotaibi, and Tamer Mohammed Abdelrahman. "Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia." International Journal of Medicine in Developing Countries 3 (2019), 34-39. doi:10.24911/IJMDC.51-1561502305


MLA (The Modern Language Association) Style

Alghuraybi, Abdullah Abed, Mazen Abdulmohsen Almalki, Abdulaziz Hameed Althumali, Abdulaziz Mohammed Alshalawi, Rayan Ibrahim Maghrabi, Faisal Alotaibi, and Tamer Mohammed Abdelrahman. "Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia." International Journal of Medicine in Developing Countries 3.10 (2019), 34-39. Print. doi:10.24911/IJMDC.51-1561502305


APA (American Psychological Association) Style

Alghuraybi, A. A., , . M. A. A., Althumali, . A. H., Alshalawi, . A. M., Maghrabi, . R. I., Alotaibi, . F. & Abdelrahman, . T. M. (2019) Management of sacrococcygeal pilonidal sinus disease: surgeons’ current practice in Taif—Saudi Arabia. International Journal of Medicine in Developing Countries, 3 (10), 34-39. doi:10.24911/IJMDC.51-1561502305


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