PREOPERATIVE DIAGNOSIS: Pilonidal cyst with abscess.
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POSTOPERATIVE DIAGNOSIS: Pilonidal cyst with abscess.
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PROCEDURE PERFORMED: Pilonidal cyst unroofing.*
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OPERATIVE FINDINGS: A small abscess cavity approximately 4 cm length and 1 cm
deep was appreciated. This was unroofed using Bovie electrocautery and it was
packed.
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DESCRIPTION OF PROCEDURE:
upper buttocks were prepped and draped in the usual sterile fashion. An
operative timeout was performed and the procedure began. We initially began by
using a fistula probe and probing small midline pits, which we were unable to
identify a true sinu. We then identified an area cephalad to the midline pits
that looked as if it was the point of maximum erythema and attempted to probe
this area as well. There was no entrance into the cavity. We then unroofed the
previous abscess cavity using Bovie electrocautery for approximately 4 cm in
length and dissected down into the subcutaneous fat. We noted some fibrosed
tracks and curetted this out using a curette and fulgurated the remaining
surrounding tissue. We then instilled local anesthetic and packed the wound
with dry gauze. This concluded the procedure and the patient was then awoken
and taken to the Postanesthesia Care Unit in stable condition.
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