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Ingrown Toenail Removal
Ingrown toenail removal:
- Consent: obtained after discussion on the benefits and risks,
including pain, bleeding, infection, nail dysmorphia
- Preparation:
alcohol
chlorhexidine
betadine
- Anesthesia:
digital block
with
lidocaine 2% without epi
cc
- Procedure:
partial
total
removal,
simple
radical
phenolization
- Tourniquet:
minutes
- Dressing: non-adherent with antibiotic ointment
- Complications:
none
, procedure
well tolerated
- Instructions: dressing removal in
24h
, Dakin's solution soaks twice a day, analgesics, return if slow improvement or deterioration
- Antibiotics:
Cefadroxil 500mg po BID for 7 days
- Follow-up: wound reevaluation in
days