Permanent ingrown toenail surgery is recommended if IGTN’s are recurrent, or very severe.
What is involved?
- Your toe will be anaesthetised with a local anaesthetic, so you may feel slight pressure but no pain during the procedure.
- A tourniquet is then applied, which will restrict blood flow to the toe temporarily to allow the procedure to be preformed.
- In most cases a small edge of nail and nail bed will be cut and removed from the offending nail.
- A chemical solution (phenol) will be applied under the cuticle, to make sure the cells responsible for producing nail are destroyed.
- A dressing is then applied to toe, which will need to stay in place for a minimum of 24 hours.
- The dressing must stay dry within this time, so if a shower is required using a plastic bag to cover the foot is recommended.
The Podiatrist If Required Will Review You:
- 1 day after surgery
- 3 weeks post surgical
- 6 weeks post surgical
This is to ensure healing is optimised and complications are reduced. At the 3 week mark a scab or hard thick skin may be evident. This will need to be carefully removed by the podiatrist, and redressed.
What are the Risks?
- Failure of the surgery and partial regrowth of nail.
- Allergic reaction to local anaesthetics, if not had previously.
What is Required Prior to Surgery?
- Clean feet.
- Open toed shoes.
- Someone to drive you home (as your foot may be numb).
- Pain relief (do not take aspirin/ disprin for pain relief as this will thin your blood and cause increased bleeding).
Preparation for Surgery:
- The podiatrist will undertake an assessment to make sure you are a suitable candidate for surgery.
- You may be advise you speak to your GP, to check if any medications etc need to be ceased temporarily prior to surgery.
- A consent form will need to be signed on the day.
The podiartists at Well Heeled Podiatry are educated and trained in the area of ingrown toenail surgery. We will undertake a thorough assessment of your toe and provide you with both conservative and surgical options.