Re: Nail Surgery for patient with Von Willebrand's Disease?
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.