Permanent ingrown toenail surgery is necessary if IGTN’s are recurrent, or very severe.
Ingrown Toenail Surgery
- Permanent removal of the aggravating nail spicule
- Local anaesthetic is necessary to numb the toe
- Relatively simple day procedure
What Does The Surgery and Follow Up Care Involve?
- A local anaesthetic is necessary to numb your toe to ensure no pain if felt during the procedure.
- A tourniquet around the toe, will temporarily restrict blood flow to the toe during the procedure.
- In most cases a small edge of the offending nail and nail bed will be cut and taken out.
- A chemical solution (phenol) is applied under the cuticle, to make sure the cells responsible for producing nail are destroyed.
- A dressing is then applied to the toe, which will need to stay in place for a minimum of 24 hours.
- The dressing must stay dry during this time, it will be necessary to use a plastic bag to cover the foot when showering.
- 1-2 days after surgery
- 3 weeks post surgical
- 6 weeks post surgical
This is to optimise healing and reduce complications. 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
- Delayed Healing
- Allergic reaction to local anaesthetics, if not had previously
What Do I Need For 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 increase bleeding).
- The podiatrist will undertake an assessment to make sure you are a suitable candidate for surgery.
- Speak to your GP, to check if you need to stop any medications temporarily prior to surgery.
- Sign a consent form on the day.
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