The patient was met in the preoperative holding area, patient, consent, site and procedure to be performed confirmed. All questions answered. The patient was transported to the operating room. Sequential compression devices applied to the bilateral lower extremities. General anesthesia was induced, and the patient was intubated on the cart. The patient was transferred to the operating table in prone position, boney areas padded and secured with straps. The lower back and gluteal cleft were prepped and draped in the normal sterile fashion. Preoperative Ancef was given. A timeout was done and all were in agreement.
An ellipse incision was made around the visible pits and carried down to the level of the fascia and this area was completely excised. The operative field was made hemostatic with cautery. The wound was closed in layers with 2-0 Vicryl, 3-0 Vicryl and 4-0 Monocryl and dressed with Dermabond.
Final counts were correct. The patient was transferred back to the cart, liberated from anesthesia, extubated and transported to PACU in stable condition.
Service: GS (green)
Author: Garrett Skinner