Research Article

Results of surgeon attitude questionnaire on pilonidal sinus


  • Tahsin Çolak
  • İlker Sücüllü
  • Hüseyin Sinan
  • Neriman Şengül
  • Cem Terzi

Turk J Colorectal Dis 2011;21(4):165-172


Pilonidal disease (PD) effects sacrococcygeal region especially in young population. Main principal on treatment is recover of patient to normal life in short time and to eliminate relapses. Pilonidal Sinus Working Group have been founded under Society of Turkish Colon and Rectum Surgery and have been prepared “Surgeon Attitude Questionnaire on Pilonidal Sinus”in order to determine current status in Turkey by this group. The aim of this study was, to present the results of this questionnaire and to comment this results and to determine tendency of surgeons on pilonidal disease in Turkey.

Material and Methods:

This questionnaire was sent to all surgeons (3690 General Surgeon) who were registered on the database of Turkish Surgical Association via e-mail. Five hundred ninety four surgeons replied questionnaire.


Ninety eight percent of all surgeons who replied questionnaire think that PD is a surgical disorder and serious problem. The most important problem on the treatment of PD in terms of participants is relapse (60%), infection (16%) and dehiscence of the wound (16%). Therefore, 64% of all surgeons prefer excision and flap reconstruction, 20% of all surgeons prefer excision and midline closure and remainders prefer open techniques for treatment of PD. The most preference is Karydakis flap on primary surgery, Limberg flap on secondary or relapse surgery. Sixty two percent of all participants think 0-5% relapse rate is acceptible relapse rate and 68% of all participants think their own technique’s relapse rate is 0-5%.

Discussion and Conclusion:

This questionnaire documented current status of surgeons attitude on PD in Turkey, have not been documented before. These data can pioneer on classification and might be a pilot on concensus meetings for algoritm and management of PD.

Keywords: Pilonidal disease, questionnaire