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Ischemia unmasked by ingrown nail surgey

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Old 2nd December 2005, 11:28 AM
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Default Ischemia unmasked by ingrown nail surgey

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The full text of this paper is not readily accessible, but it does serve as a timely reminder:
Major complications of minor surgery
A REPORT OF TWO CASES OF CRITICAL ISCHAEMIA UNMASKED BY TREATMENT FOR INGROWN NAILS

M. Toybenshlak, MD, Senior Registrar(1), O. Elishoov, MD, Consultant in Orthopaedics(1), E. London, DPM, MSc, Consultant in Podiatry(1), I. Akopnick, MD, Consultant in Vascular Surgery(2) and E. D. Leibner, MD, PhD, Consultant in Orthopaedics(1)
1 Department of Orthopaedic Surgery
2 Department of Vascular Surgery, Hadassah-Hebrew University Medical
Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1681-1683.

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We describe two patients in whom poor healing after chemical ablation for ingrown toenails unmasked significant vascular disease of the lower extremities. We have found no similar reports in the English language literature.
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Old 8th December 2005, 04:18 AM
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Default Vascular assessment

Fresh out of podiatry school I also ran into this problem. It transpired the pre-op assessment was lacking when the patient had presented with classical signs of ischaemia. (the '6-p's)The phenolisation produced necrosis and patchy gangrene and the poor patient took morhpine for about 4 months before this settled ' satisfactorily'.

There is also some pressure at times from GP's to operate on a compromised patient in this way and that HAS to be resisted.

Is this what the authors have found here? I cannot access the full article.
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