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Location: Hospital PREOPERATIVE DIAGNOSIS: Pilonidal Cyst

Question 23

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Location: Hospital
PREOPERATIVE DIAGNOSIS: Pilonidal cyst.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Excision of pilonidal cyst, simple.
ANESTHESIA: General endotracheal anesthesia with 30 cc of local infiltrated directly into the wound.
PROCEDURE IN DETAIL: After good general endotracheal anesthesia, the patient was carefully placed in the prone position. Care was taken to pad dependent areas. The area around the pilonidal cyst was shaved, prepped, and draped sterilely. After this, a total of 30 cc of Marcaine was injected into the area around the pilonidal sinus and a small elliptical incision was made to include the two sinuses. Wide dissection was carried down to the coccyx to include all inflamed tissue. After this, the wound was irrigated. Hemostasis was obtained with electrocautery. The wound was packed with Vaseline gauze and dressed. The patient tolerated the procedure well and was returned to the recovery room in good condition.
CPT Code: ____________________

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