DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Excision of Pilonidal Sinus
ANAESTHETIC: General / spinal anaesthesia. Local infiltration.
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Prone jack-knife. Buttocks taped apart.
INDICATION:
Symptomatic pilonidal sinus disease [acute abscess / chronic discharging sinus].