I hate these... I always go down a rabbit hole. Any suggestions ? Thank you!
Pt was taken to the O.R and placed prone jackknife.. prepped and draped in sterile fashion. IV sedation and general anesthesia instituted. The perianal region was palpated and an area of fluctuance identified, a 20 mL syringe and 18 gauge needle used to find pocket of pus, an incision was made over the fluctuant area , with a stab incision using 15 blade and away from the external sphincters and in line with the circular fibers , with evacuation of 75 ml of pus. A clamp was inserted into the cavity and the septations were broken up. the area was irrigated copiously and a drain was placed and sutured nylon to the skin. A sterile dressing was placed.
Pt was taken to the O.R and placed prone jackknife.. prepped and draped in sterile fashion. IV sedation and general anesthesia instituted. The perianal region was palpated and an area of fluctuance identified, a 20 mL syringe and 18 gauge needle used to find pocket of pus, an incision was made over the fluctuant area , with a stab incision using 15 blade and away from the external sphincters and in line with the circular fibers , with evacuation of 75 ml of pus. A clamp was inserted into the cavity and the septations were broken up. the area was irrigated copiously and a drain was placed and sutured nylon to the skin. A sterile dressing was placed.