Simple operative management of ingrown toenail using bipolar diathermy.

Eur J Pediatr Surg

Paediatric Surgery, Royal Liverpool Children's NHS Trust, Liverpool, United Kingdom.

Published: October 2009

AI Article Synopsis

  • Ingrowing toenails (IGTN) lead to significant pain for both children and adults, often requiring surgical intervention when conservative treatments don't work.
  • A new, simpler surgical technique has been developed that involves wedge excision of the ingrowing nail and uses bipolar diathermy on the nail bed.
  • Out of 353 procedures performed on 302 patients, the re-operation rate for recurrence was 9.9%, making this technique a competitive option for minor surgeries in primary care settings.

Article Abstract

Ingrowing toenails (IGTN) cause significant discomfort for children and adults alike. Where conservative treatment fails, a surgical approach is usually adopted. Many surgical procedures have been described with varying complexity and outcome. We report a novel, simple technique which involves wedge excision of the ingrowing nail, and bipolar diathermy of the nail bed. Three-hundred and fifty-three procedures were carried out on 302 patients during the study period. Our re-operation rate for recurrence is 9.9%, which compares favourably with other techniques, and which lends itself to utilisation for minor surgery lists in primary care.

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Source
http://dx.doi.org/10.1055/s-0029-1225357DOI Listing

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