INCISION:
Ellipitical incision Pilonidal area including sinuses
FINDINGS:
Large abscess cavity with about 50 ml pus
PROCEDURE:
Pus for c&S
Loculations disrupted using gloved finger
Slough evacuated – Curettage
Hemostasis
Wash with saline & betadine
Packed with SorBact
CLOSURE:
Dressings applied Pressure dressing
POST OPERATIVE INSTRUCTIONS:
Observations Q4H
Home later today all being well
Diet: Eat and Drink as tolerated
Pressure dressing to stay for 24-48 hours
Alternate day dressings; starting day after tomorrow |