Podiatry Arena members do not see these ads

Hi
I have a 54 year old female, referred by her GP for surgical management of ingrowing toenails. Initially she was referred to the local hospital for surgery due to her bleeding disorder, Von Willebrand's disease. However, hospital cut backs have hit and she has been removed from their waiting list.
i have not treated anyone with this disorder before and just looking for some advice regarding pre and post op care. I'm looking at doing a bilateral matrixectomy with NaOH/Acetic acid.
Thanks
Charlotte

Tweet

Share

__________________
Are you addicted to Podiatry Arena?
Have you added your location to the map? (Map FAQ's)
Earn CPD Points

If the technique for incisional onychocryptosis is really not, you should have problemas.
Personalmente Fenol use.
Is common practice in patients treated with acenocoumarol.
Regards:
Jose A. Teatino
Professor of Surgery
The Academy of Ambulatory Foot & Ankle Surgery

I meant: there should be problemas.
Lamento google my bad English

Hi all,

About 20 years ago I did a partial nail ablation on an 18 yo young lady. Procedure went fine but I couldn't stop the bleeding, even after 10 minutes of digital pressure. Finally stopped with alginate packing, further pressure, elevation and time. Wound healed uneventfully and there was no nail regrowth.

The young lady came to see me with another foot condition 5 years later. By then she had delivered her first child and, in the process, had been diagnosed with Von Willebrand's disease.

For what it's worth, now that you are forwarned, perhaps dressing materials which enhance clotting may enable you to safely provide PNA on your patient. As an aside, I have used alginate dressings when performing PNAs on patients low doses of warfarin as well.

Would be interested to hear of your reasons for chosing NaOH over phenol, and details of how you apply and neutralise it.

Kind regards,

Barry Hawes