I was up in Northern Ontario recently educating some Nurses and PSWs who work on the Reserves. Over the past few months a young and enthusiastic MD has been practicing his new found surgical prowess with the Vandenbos procedure for ingrown toe nails.
Members do not see these Ads. Sign Up.
It seems practicing on patients with diabetes without checking there INR or vacsular status can be problematic. 2 patients required amputations, four were salvaged but only just and not very pretty! ( I have some pics but have to make them smaller)
-
-
There's been a thread on here about this before. Here's a link to a video of the procedure on a guy from Canada's website:
http://www.ingrowntoenails.ca/procedure video.htm
I can't say it's something I'll be offering anytime soon since I have good results from the standard nail surgery techniques. How ironic that your MD's medical management of his patients is lacking?!! -
This from the website of a Dr Henry Chapeskie, Who obviously also wrote the wiki page entry for the proceedure... (is he your hucklebury Graham?)
Sweet mother of mercy!!!
Apparently there is a negligable regrowth rate. I suspect, graham, that your amputees would not be comforted to know they are part of that statistic!!!Last edited by a moderator: Dec 26, 2017 -
-
Robert,
Dr Henry Chapeskie was I believe who taught the MD up North! I can't believe such an invasive procedure for something as simple as an ingrown nail can be justified.:confused: -
-
-
Tea is for mugs. :morning:Attached Files:
-
-
Blisters you say?!
Disgusting. Shouldn't be allowed...
Although Vern Houston et al (2006) found the maximal heel width expansion on weight bearing to average about 3.5mm of lateral expansion... and the bandage was 2 or 3 mm thick each side... so there is essentially 4-6 mm of lateral expansion intrinsic to the technique (whether you want it or not)... :rolleyes:
How anal and pedantic am I?;)
More of a worry for me with that one is you always get a round heel cup. Rather hard to wedge or skive. But we digress.
Vandenbos. No regrowths, few amputations. -
HeY! Maybe we could surgically resect the medial and lateral fat pad of the heel. We could charge more and wouldn't have to worry about plaster expansions on our orthoses.
What should we call this procedure? -
-
That is the most ridiculous first line procedure for a nail i have ever seen
ps did you see the hefty nail spike he left on the fibular border? -
-
-
-
-
See PDF attached
Attached Files:
-
-
Publishing it doesn't always make it right.
http://www.youtube.com/watch?v=xSZbbTjM0Es -
-
http://www.youtube.com/watch?v=NZyVZFJGX5g&feature=related -
http://www.youtube.com/watch?v=7c37GdAzgQo
I find the major improvement in the 2 versions is the actions of the vocalist during the solo. Very considerate - perhaps he used to have a clinic doing cut and come agains?:D -
The use of the Vandenbos Procedure is as good example as you are likely to find of the principle that because you can do something doesn't mean to say that you should do it. It amounts to unnecessary butchery.
-
Seen a few Zadiks (spelling?) or similar in young healthy people that have been less great cosmetically but nothing on this!Last edited: Dec 12, 2011 -
At least with a zadiks, the skin flaps are sutured back together to heal be tertiary intention. As opposed to leaving a big ass hole to heal by secondary!
Nice idea, but I understand If the proceedure goes badly we're in amputation territory. Not much left to fix... -
I'm aware this thread is a long time dead but I showed a client this video today as she wanted something to startle her son-in-law with.
I also showed her Dr Parekh Ankle Block video. Needless to say she squealed when she saw the LA shooting across the clinic floor from out the other side of his ankle. -
Where do they get the skin grafts from? I crack myself up sometimes!!!!
-
I must have missed this one first time around.
What the ???????
:D -
This thread always makes me miss graham...
Yep. Tis one of the video on my "for freaking out students" playlist. -
Umm... Yikes is all that springs to mind! Slight overkill for a PNA i would have thought? A simple removal & phenol ablation seems to do the trick for us.... 5% regrowth rate on the hundreds of procedures we do and no lack of sides of the toe!!! Blimey, i feel sorry for the patients going under the knife for the Vandenbos procedure!!! We always ask patients if they've searched youtube for "Ingrowing Toenail Surgery" to find out what they're in for, and generally the more nervous of the patients all say "Yes!! You're not going to cut off the sides of my toes are you???" while sometimes very loudly gibbering into a magazine we've swiftly shoved under their noses!
-
Just when you thought it was safe...
Has anyone ever wondered what the vandenbos proceedure looks like AFTER the surgery...
http://www.youtube.com/watch?v=JgBBw80DmzE
Dear sweet mother of mercy, why would anyone do this to themselves!?!?! -
Ok, I'm not in any way squeamish but I'll admit to feeling a little queasy here
http://www.youtube.com/watch?v=RC-pjpmGwUY
http://www.youtube.com/watch?v=fX1kH3LRAs4
Watch out for him leaving a set of clamps attached and then using a scalpel blade with no handle. -
-
He even says that this would make an excellent torture method. Does anybody else see the irony of him having this procedure to resolve his IGTN, then during the debridement, they both fall off! -
I'm not sure what's in video one counts as debridement so much as, well, picking at it I guess you'd say.
The other two are, if anything, worse. -
I wonder is there not an issue of malpractice with this procedure?
-
This proceedure in particular? I certainly would not want to defend it. He uploaded the actual operation here
http://www.youtube.com/watch?v=-wtu-Kpw2J8
And his cross infection precautions are really very shoddy indeed. If one were to do a root cause analysis on the subsequent infection and necrosis there are lots of things to raise. Not hard to see how it happened.
Or did you mean the debridement. Leaving the surgery aside, the debridement of the necrotic tissue is far from the best example I've ever seen. Again, there is a fairly flagrant disregard for aseptic technique. -
Sorta makes the PNA's we do and have them 100% healed in 10-14 days with minimal pain under LA seem almost boring! All of the top Podiatrists in my area I find it difficult to tell what toe they even operated on they look so good!
-
Comparison of Vandenbos procedure or Winograd method for ingrown toenail
Erkan Karacan, Devran Ertilav
Jt Dis Relat Surg. 2021;32(2):414-419
Loading...
- Similar Threads - Vandenbos procedure ingrown
-
- Replies:
- 0
- Views:
- 192
-
- Replies:
- 0
- Views:
- 433
-
- Replies:
- 0
- Views:
- 456
-
- Replies:
- 0
- Views:
- 923
-
- Replies:
- 0
- Views:
- 1,194
-
- Replies:
- 0
- Views:
- 1,298
-
- Replies:
- 0
- Views:
- 1,377