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Toenail Removal
Urology
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What is Ingrown Toenail Removal Surgery?
As part of the procedure, the nail matrix (the tissue at the base of the nail where the nail cells originate) is partially or completely removed during ingrown toenail removal surgery, also known as matricectomy or matrixectomy. Chronic ingrown toenails are generally treated with surgery when non-surgical and conservative treatments fail.
Several techniques are available for matricectomy, including chemical, electrosurgical, or surgical techniques. Krescent Healthcare can help you learn more about the treatment procedure by examining the patient and determining the severity of the condition. The doctor will choose the most appropriate technique after examining the patient.
Treatment Methods
It depends on the severity of an ingrown toenail how it is treated. The symptoms of an ingrown toenail may be relieved with conservative treatments and home remedies in mild cases. To resolve the problem effectively, medical or surgical treatment may be necessary in severe cases. Some of the common ways to treat ingrown toenails include:
Total Nail Removal: The entire nail may need to be removed if the ingrown toenail is recurrent or severe. This procedure is also done under local anaesthesia and is usually reserved for chronic or severe cases.
Soaking the Foot: A soak in warm water for 15 to 20 minutes, two to three times a day, can reduce pain and swelling. Epsom salt or disinfectants can also help prevent infection.
Lifting the Nail: Using a cotton swab or dental floss, the doctor can lift the edge of the ingrown toenail and place a small piece of cotton or dental floss under the nail. This will allow the nail to grow above the skin and relieve pressure.
Partial Nail Removal: A doctor may need to remove the part of the nail that is digging into the skin. This is a minor surgical procedure that can be performed under local anaesthesia.
Antibiotics: Antibiotics may be prescribed by the doctor if an infection is present.
Preventing complications and ensuring effective treatment can be achieved by seeking medical attention as soon as possible.
About Surgery
During ingrown toenail surgery, the toenail is partially or completely removed from the skin tissues. Avulsion or matricectomy can be used to perform this procedure, depending on the technique used by the surgeon. The steps will vary depending on the technique used. The procedure is carried out in the following steps-
During the procedure, local anaesthesia is administered to numb the toe and reduce pain.
A scalpel and specialized nail nippers will be used to remove the affected portion of the toenail. The entire toenail may need to be removed in some cases.
During matricectomy, the surgeon may use chemical (phenol), surgical, laser, or radiofrequency techniques to safely remove the affected nail matrix.
To prevent infection, the surgeon will clean and treat the nail bed after removing the nail.
To protect the nail bed and promote healing, a sterile dressing is applied to the toe.
Outpatient ingrown toenail surgery can usually be completed in a doctor's office or clinic in just 30 minutes. The procedure usually takes around 30 minutes. Following surgery, the patient is observed for about an hour before being sent home on the same day. The doctor will then instruct the patient on how to care for the toe and prevent complications after surgery.
Outpatient ingrown toenail surgery can usually be completed in a doctor's office or clinic in just 30 minutes. The procedure usually takes around 30 minutes. Following surgery, the patient is observed for about an hour before being sent home on the same day. The doctor will then instruct the patient on how to care for the toe and prevent complications after surgery.
Techniques Used for Treatment
Here are some of the most common techniques used for ingrown toenail surgery. The choice of technique will depend on the severity of the ingrown toenail.
Laser Surgery: Using laser surgery, the ingrown toenail can be removed and cauterised to prevent regrowth. The laser energy destroys the tissue and seals blood vessels, reducing bleeding and postoperative pain.
Total Nail Avulsion: Usually used for severe cases of ingrown toenails or recurrent cases, this technique involves removing the entire toenail, including its nail bed.
Partial Nail Avulsion: It involves removing the edge or corner of the toenail that is digging into the skin and the nail bed underneath it. The remaining part of the nail is left intact. This technique is the most common.
Radiofrequency Ablation: A high-frequency electrical current is delivered to the affected area, which destroys the tissue and prevents the ingrown toenail from growing back.
Chemical Matricectomy: During this procedure, a chemical, usually phenol, is used to destroy the nail matrix (the tissue that produces the nail). Phenol is a caustic agent that destroys the matrix cells and prevents the nail from growing back.
When it comes to ingrown toenail removal, the surgeon will choose the safest and most effective technique. It's also important to understand the risks and benefits of each technique.
Recovery after Treatment
Recovery from ingrown toenail surgery can last anywhere from three weeks to three months, depending on the severity of the problem and the type of surgery performed.
1. As the toe heals, the doctor will adjust the dosage of the pain medication as directed.
2. For swelling, bruising, and redness in the treated area, take antibiotics, anti-inflammatory medications, and other medicines.
3. Be sure to schedule regular follow-up appointments with your doctor to monitor the healing process and to look out for early signs of complications.
4. It may take several months for the nail to regrow. Be patient and keep your foot clean and dry.
5. During the first few days after surgery, keep the foot elevated as much as possible.
6. During the initial healing period, the dressing needs to be changed frequently. Follow the instructions given by the doctor.
7. To prevent infection, keep the dressing and wound clean and dry.
8. In the first few days following surgery, avoid putting weight on your foot and gradually resume normal activities as your pain subsides.
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