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Nail surgery.
Journal article

Nail surgery.

  • Haneke E Department of Dermatology, Inselspital, University of Bern, Switzerland; Dermaticum Freiburg, Kaiser-Joseph-Strasse 262, 79098 Freiburg, Germany; Center of Dermatology "Epidermis," CUF Institute, Porto, Portugal; Department of Dermatology, Academic Hospital, University of Gent, Belgium. Electronic address: haneke@gmx.net.
  • 2013-10-02
Published in:
  • Clinics in dermatology. - 2013
Anesthesia, Local
Biopsy
Contraindications
Dermatologic Surgical Procedures
Disinfection
Foreign Bodies
Hematoma
Humans
Nail Diseases
Nails
Nails, Malformed
Preoperative Care
English Nail surgery is a special branch of hand and dermatologic surgery. It is not widely performed, and many physicians do not feel at ease to perform it. The objective of this contribution is to give a short overview of the most important surgical procedures in clinical practice. References from the literature and the author's own experiences are condensed to describe what a dermatologic practitioner with knowledge of the nail and some surgical skills can perform. Nail surgery is a precise technique that requires careful administration and attention to details. Proper patient preparation starts with a patient history to identify potential contraindications and to prevent unnecessary complications. The author recommends isopropyl alcohol scrub and chlorhexidine for disinfection and ropivacaine 1% for anesthesia. The technique used for anesthesia depends on the type of surgery. Surgical procedures are described for diagnostic biopsies, nail avulsion in general, onychogryposis, paronychia treatment, hematomas and bone fracture due to trauma, removal of subungual foreign bodies, ingrowing nails, pincer nails, warts, ungual fibrokeratomas, digital myxoid pseudocyst, subungual exostoses, and various tumors. If performed correctly with adequate skills, nail surgery will lead to functionally and aesthetically satisfying results in the majority of instances.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/79746
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