Clean and simple INGROWN TOENAIL procedure PART 2

Welcome to part 2 of the two part series of treating an ingrown toenail with a partial nail avulsion and phenolisation. If you haven't seen the first part, or want to watch an uninterrupted video of the procedure in full, watch it here:    • Clean and Simple INGROWN TOENAIL PROCEDURE...  

A partial nail avulsion is a simple way that podiatrists treat ingrown toenails. The toe receives local anaesthetic injections, the side of nail removed, and phenol applied to the root to stop that section of nail growing back. The gap naturally closes and wound heals in a few weeks.

This 2nd part video is a detailed walkthrough of the procedure and showing you a close up of all the instrumentation used.

LINKS

*Reilly, Ian. (2019). Continuing Professional Development. Nail Surgery. *
https://www.researchgate.net/publicat...
‪@IanReillyPodsurgeon‬

Does Needle Size Matter?
DOI: 10.1177/193229680700100517
https://www.ncbi.nlm.nih.gov/pmc/arti...

Alcohol plus chlorhexidine is more efficient than alcohol alone for phenol-based chemical matricectomy: an in vitro study
DOI: 10.1111/dsu.12236
https://pubmed.ncbi.nlm.nih.gov/23639...

Enhanced removal of phenol with saline solution over alcohol: an in vitro study
DOI: 10.1111/j.1524-4725.2012.02459.x
https://pubmed.ncbi.nlm.nih.gov/22861...

*Enhanced Removal of Phenol With Lidocaine
vs Alcohol*
DOI:10.1001/jamadermatol.2016.5244
https://pubmed.ncbi.nlm.nih.gov/28249...

0:00 - Intro
0:35 - Help my mission
1:12 - Ingrown toenail presentation
1:36 - Needles for injection
2:17 - Nerves of a toe
2:38 - Injection of local anaesthesia
3:15 - Test toe is numb
3:38 - Instruments to test sensation
4:04 - Is any sensation detected?
4:14 - Clean toe again
4:38 - Touniquet
4:52 - Why use a tourniquet?
5:26 - Nail elevator
5:59 - Thwaites nippers
6:22 - Art form to cutting
6:50 - 2 cuts or chisel blade?
7:17 - Minimise trauma of procedure
7:37 - Inspect the cut
7:50 - Remove with forceps and inspect
8:20 - Phenol
8:45 - Phenolisation time
9:26 - Dilution of phenol
10:28 - Removing tourniquet
11:03 - Dressing
11:28 - Outro and thank you!

https://thelondonpodiatrist.co.uk
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The video content is the view and opinion of the creator and is made available for informational and educational purposes. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider. Never disregard professional health care advice or delay in seeking it because of something you have read or seen on this channel.

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