Anesthetized with Iso/Os via mask.  Maintained at 4%.  Plucked
feathers surrounding the L carpal wound. Prepped with betadine.
 Removed 3 feathers that had grown under the wound edges.  Debrided
the skin edges with tenotomy scissors and trimmed back the exuberant
granulation tissue that was present.  Flushed the site with sterile
LRS.  Closed the skin with 4-0 PDS SI.  Placed bilateral carpal
bumpers.  
AMS

Wound debridement of right carpal wound. Wound site swabbed for
lab culture since this site has been surgically treated before
and resulted in infection. Local anesthesia of the wound and
a small surrounding area achieved via 0.4 mL 2% lidocaine diluted
with 0.1 mL of 8.4% sodium bicarbonate. Flushed wound with LRS
and cleaned with betadine. Sterile scissors used to freshen the
apposing sides of the wound to ensure promote healing. 4-0 PDS
placed in a horizontal mattress pattern to close the wound and
reduce tension on the wound. Mupirocin ointment applied topically
with a PTA. Wound bandaged with tegaderm+ pad and secured in
place with padded tape and finally a suresite bandage. Almost
identical but slightly more superficial injury/wound found on
the left carpal when bumper bandage was removed. Opted to surgically
debride as well. We followed the same protocol on the left carpus
as the right except for several changes. We did not culture the
second wound as this was the first time surgical treatment was
implemented at this site. Further, during closure, 5-0 PDS was
used in a horizontal mattress pattern but due to high tension
the wound was left open slightly which we plan to close tomorrow.
This wound was bandaged in the same manner except for the first
layer we included a small piece of Duoderm to help provide scaffolding
for healing since the wound was left open partially.