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Hi there. I have a 20 year old male patient with a long history of infected nails and I intend to undertake total resections with phenolisation on B/1st nls. He has Guillain Barre Syndrome, diagnosed several years ago. Whilst acknowledging this is an inflammatory demyelinating polyneuropathy I cannot see this as being a contra indication for nail surgery - unless anyone knows differently? All pulses palpable, skin texture good and 10gm MF sites all good. Cheers. Chris.

 

Hi Chris,
I can't see this condition as a contraindication to nails surgery, but if you have any concerns, it might be a good idea to check with his GP before you go ahead.

regards

Catfoot

 

OK thanks for that.

 

The only absolute contraindication to nail surgery is ischaemia.

Unless he is also on an auto-immune drugs to counteract the GB symptoms eg immunoglobulin, there are really no other issues to contend with.

Just bare in mind infection risk if on chemotherapy.

LL

 

I recently did PNA's on a patient with Guillain Barrie with no adverse reactions. In fact she healed rather quickly and much better than I was expecting, however she did get more post op pain than the norm which is worth warning your patient about.

One sulcus re-grew which I don't think is due to the Guillain Barrie.