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OPERATIVE REPORT SEX: Male AGE: 22 DATE OF OPERATION: 1/1/20XX SURGEON: Dr. Cohen Andrews PREOPERATIVE DIAGNOSIS: Pilonidal cyst and sinus with abscess POSTOPERATIVE DIAGNOSIS: Pilonidal cyst and sinus with abscess PROCEDURE PERFORMED: Excision of complicated pilonidal cyst and sinus abscess with marsupialization of wound. ANESTHESIA: General. SKIN PREP: Betadine. DRAINS: None. DESCRIPTION OF PROCEDURE: The patient was placed prone in a semi-jackknife position. Buttocks were taped apart. The patient was prepped. An elliptical incision was made around the pilonidal abscess opening and around a secondary opening, was carried down around the area of disease, all the way down to the fascia and the whole thing was excised. A probe was placed, and the tract was opened to confirm that the entire tract and abscess cavity had been excised. The wound was irrigated. Hemostasis achieved. The dermis was sutured down to the fascia with 2-0 Vicryl sutures. The remaining wound was packed open with saline-soaked 4×4 gauze and covered with a dry dressing. The patient tolerated the procedure well and was taken to the recovery room in satisfactory condition having tolerated the procedure well. Sponge, instrument, and needle counts were reported as correct. Blood loss was minimal. Cohen Andrews, MD Electronically signed by COHEN ANDREWS, MD 1/1/20XX
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