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Do people do nail surgery single handed?

Discussion in 'United Kingdom' started by foot rott, Mar 13, 2014.

  1. Peter

    Peter Well-Known Member

    Hi Tony,

    I work full time MSK, so don't do nail avulsions. I only use Marcaine for LA, otherwise Methylprednisolone with lidocain, and Triamcinolone plain.
     
  2. anthony watson

    anthony watson Active Member

    oh' I see
    MSK (the dark side!)

    Thanks

    Anthony
     
  3. Only ever done nail surgery single handed and the phenol will kill all germs anyway so little need for sterile gloves. My surgery is only clinically clean too ie not a sterile operating theatre. Never yet had an infection in the first 3 weeks ie one which I have caused, in all my 28 years of nail surgery. I use pre op betadine, use instruments from a sterile pack, 5 minutes of phenol and have no problems.
     
  4. manmantis

    manmantis Active Member

    I suspect he means non-sterile gloves all the way through.

    The instruments are sterilised, but they're not sterile from the moment you start using them. What are you gaining by using sterile gloves for the procedure? I know of & have worked in a great number of Podiatry units that don't use sterile gloves for nail avulsions & their post-op infection rates are unremarkable.

    Would you use sterile gloves for debriding around an ulcer? Or even removing an ingrown nail spike outside of an avulsion-type procedure? Are those things not just as invasive?

    I was taught nail resections in an operating theatre environment at Uni. That's a good way of reinforcing non-sterile/sterile (or "clean") field behavior in students, but I would argue complete overkill for real-world practice.
     
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