Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons
Abstract Background Pilonidal sinus disease (PSD) is frequently observed in young adults. There is no wide consensus on optimal treatment in the literature, and various procedures are used in clinical practice. The objective of this study was to assess current practice, experience, training, and att...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01889-1 |
| _version_ | 1797973768813936640 |
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| author | Mari Odlo Julie Horn Athanasios Xanthoulis |
| author_facet | Mari Odlo Julie Horn Athanasios Xanthoulis |
| author_sort | Mari Odlo |
| collection | DOAJ |
| description | Abstract Background Pilonidal sinus disease (PSD) is frequently observed in young adults. There is no wide consensus on optimal treatment in the literature, and various procedures are used in clinical practice. The objective of this study was to assess current practice, experience, training, and attitudes towards PSD surgery among Norwegian surgeons. Methods An online survey on PSD surgery was created and sent to all members of the Norwegian Surgical Association. Categorical data were reported as frequencies and percentages. Results Most currently practicing Norwegian surgeons used the Bascom’s cleft lift (93.2%) or minimally invasive procedures (55.4%). Midline excisions with primary closure (19.7%) or secondary healing (22.4%) were still used by some surgeons, though. Most surgeons had received training in PSD surgery supervised by a specialist, but only about half of them felt sufficiently trained. The surgeons generally performed few PSD operations per year. Many considered PSD as a condition of low surgical status and this patient group as underprioritized. Conclusions Our findings suggest that PSD surgery in Norway has been moving away from midline excisions and towards off-midline flap procedures and minimally invasive techniques. PSD and its treatment have a low status among many Norwegian surgeons. This study calls for attention to this underprioritized group of patients and shows the need for consensus in PSD treatment such as development of national guidelines in Norway. Further investigation on training in PSD and the role of supervision is needed. |
| first_indexed | 2024-04-11T04:09:28Z |
| format | Article |
| id | doaj.art-438249be874541aba6c3b43524c216b6 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-11T04:09:28Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-438249be874541aba6c3b43524c216b62023-01-01T12:12:01ZengBMCBMC Surgery1471-24822022-12-012211910.1186/s12893-022-01889-1Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeonsMari Odlo0Julie Horn1Athanasios Xanthoulis2Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUDepartment of Public Health and Nursing, Norwegian University of Science and Technology, NTNUDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUAbstract Background Pilonidal sinus disease (PSD) is frequently observed in young adults. There is no wide consensus on optimal treatment in the literature, and various procedures are used in clinical practice. The objective of this study was to assess current practice, experience, training, and attitudes towards PSD surgery among Norwegian surgeons. Methods An online survey on PSD surgery was created and sent to all members of the Norwegian Surgical Association. Categorical data were reported as frequencies and percentages. Results Most currently practicing Norwegian surgeons used the Bascom’s cleft lift (93.2%) or minimally invasive procedures (55.4%). Midline excisions with primary closure (19.7%) or secondary healing (22.4%) were still used by some surgeons, though. Most surgeons had received training in PSD surgery supervised by a specialist, but only about half of them felt sufficiently trained. The surgeons generally performed few PSD operations per year. Many considered PSD as a condition of low surgical status and this patient group as underprioritized. Conclusions Our findings suggest that PSD surgery in Norway has been moving away from midline excisions and towards off-midline flap procedures and minimally invasive techniques. PSD and its treatment have a low status among many Norwegian surgeons. This study calls for attention to this underprioritized group of patients and shows the need for consensus in PSD treatment such as development of national guidelines in Norway. Further investigation on training in PSD and the role of supervision is needed.https://doi.org/10.1186/s12893-022-01889-1Pilonidal sinusSurgical proceduresClinical competenceGeneral surgery educationSurveyNorway |
| spellingShingle | Mari Odlo Julie Horn Athanasios Xanthoulis Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons BMC Surgery Pilonidal sinus Surgical procedures Clinical competence General surgery education Survey Norway |
| title | Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons |
| title_full | Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons |
| title_fullStr | Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons |
| title_full_unstemmed | Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons |
| title_short | Surgery for pilonidal sinus disease in Norway: training, attitudes and preferences—a survey among Norwegian surgeons |
| title_sort | surgery for pilonidal sinus disease in norway training attitudes and preferences a survey among norwegian surgeons |
| topic | Pilonidal sinus Surgical procedures Clinical competence General surgery education Survey Norway |
| url | https://doi.org/10.1186/s12893-022-01889-1 |
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