Ingrown Toenail Removal

Ingrown toenail removal:

- Consent: obtained after discussion on the benefits and risks, including pain, bleeding, infection, nail dysmorphia

- Preparation: ‍alcoholchlorhexidinebetadine

- Anesthesia: ‍localring blockdigital blocknerve block with ‍lidocainelidocaine 1% without epilidocaine 2% without epibupivacainebupivacaine 0.5% ‍ cc

- Procedure: ‍partialtotal removal, ‍simpleradicalphenolization

- Tourniquet: ‍ minutes

- Dressing: non-adherent with antibiotic ointment

- Complications: ‍none, procedure ‍well toleratedfairly well toleratedpoorly toleratedinterrupted

- Instructions: dressing removal in ‍24h48h, Dakin's solution soaks twice a day, analgesics, return if slow improvement or deterioration

- Antibiotics: ‍CefadroxilCefadroxil 500mg po BID for 7 daysCephalexinCephalexin 500mg po QID for 7 daysAmoxicillin-clavulanateAmoxicillin-clavulanate 875mg-125mg po BID for 7 daysClindamycinClindamycin 300mg po TID for 7 days

- Follow-up: wound reevaluation in ‍ days