Controversies in the Management of Pilonidal Disease: Expert Recommendations from a Modified Delphi Survey and Review of the Literature.

Aim: This study aimed to identify key controversies in the management of pilonidal disease (PD) and to develop expert-based recommendations using a modified Delphi process, highlighting critical areas for future research. Method: A working group established by the Turkish Society of Colon and Rectal...

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Publicado en:Turkish Journal of Colorectal Disease Vol. 35; no. 3; pp. 79 - 93
Autores principales: Arslan, Çiğdem, Tatar, Cihad, Erol, Timuçin, Smeenk, Robert, Immerman, Steven, Wysocki, Peter, Toorenvliet, Boudewjin, Chiu, Bill, Yıldırım, Yasemin, Bişgin, Tayfun, Kozan, Ramazan, Maeda, Yasuko, Abbas, Maher A.
Formato: research tables/charts Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: Galenos Yayinevi Tic. LTD. STI
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        atl: Controversies in the Management of Pilonidal Disease: Expert Recommendations from a Modified Delphi Survey and Review of the Literature.
      aug:
        au:
          Arslan, Çiğdem
          Tatar, Cihad
          Erol, Timuçin
          Smeenk, Robert
          Immerman, Steven
          Wysocki, Peter
          Toorenvliet, Boudewjin
          Chiu, Bill
          Yıldırım, Yasemin
          Bişgin, Tayfun
          Kozan, Ramazan
          Maeda, Yasuko
          Abbas, Maher A.
        affil: Private Clinic, General Surgery, İstanbul, Türkiye
      sug:
        subj:
          Pilonidal Cyst Surgery
          Consensus
          Minimally Invasive Procedures
          Surgery, Reconstructive
          Turkiye
          Human
          Delphi Technique
          Retrospective Design
          Record Review
          Questionnaires
          Recurrence
          Postoperative Care
          Perioperative Care
          Antibiotics
          Data Analysis Software
          Descriptive Statistics
      ab: Aim: This study aimed to identify key controversies in the management of pilonidal disease (PD) and to develop expert-based recommendations using a modified Delphi process, highlighting critical areas for future research. Method: A working group established by the Turkish Society of Colon and Rectal Surgery conducted a systematic literature review and invited national and international experts with relevant publication records to participate in a Delphi survey. A four-round Delphi process was conducted between July 2023 and February 2024. Statements that reached ≥70% consensus (agree/strongly agree) were accepted. Results: Of the 172 experts invited, 98 agreed to participate, and 52 completed at least two rounds. Expert opinions were evaluated across nine key aspects of PD management: classification, diagnosis, acute abscess, minimally invasive and excisional treatments, recurrence, hair removal, perioperative care, and postoperative management. Conclusion: This Delphi study presents expert consensus on unresolved clinical questions in the management of PD. The findings provide practical recommendations for surgeons and emphasize the need for prospective, high-quality studies to establish standardized treatment pathways.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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