Tried everything to get rid of this fungal nail infection, but it won’t go away and it starts hurting a lot? So at this point, your doctor may advice you for nail fungus surgery. It’s the only left option when all else treatment options for nail fungus fails.
If you are also dealing a lot with this issue and your doctor has recommended you for nail surgery option. Then in that case it’s better to have a complete idea of surgical nail removal treatment. But if you haven’t such then also you need not to worry for it….!
As, this blog will help you in catching complete information about different types of surgical nail removal for fungal nail infections available nowadays.
Nail Surgery Overview
Surgical nail removal is performed when large portion of nail is infected and damaged or if your nail is causing intolerable pain. It is best to treat severe or chronic fungal nail infections. As in this option of nail fungus treatment the entire nail (avulsion) or only part of the nail (debridement) is removed. And this surgical nail removal procedure is done in clinic or in your doctor’s chamber.
In short, doctor will give you an anesthesia injection in affected area or toe to prevent pain. After then they will lose the skin around the nail folds and separate your nail from its skin by using tools under nail. If your nail’s only some part is infected then, they will reduce only that infected toenail part.
In order to avoid chances of future toenail fungus infection, your doctor can destroy the nail matrix. This is accomplished just by applying chemical over the cuticle area after the removal of the nail plate.
Risks Of Nail Removal Surgery For Fungal Nail Infections
Just like many surgical treatments, procedure of fungal nail infections surgery from toe or fingernail has so many associated risks. These include:
Right before the surgery, blood test is taken to assess patient’s risk of excess bleeding. Patients have to stop taking certain medicines if they are identified to be a risk of bleeding complications.
Another very common risk of taking Surgical Treatment Of Nail Fungus is bacterial infection in the wound after surgery. To prevent infection, it’s recommended to take antibiotic cream medication after the toenail surgery.
After the surgery one very common risk associated is abnormal nail growth. Complications alleviates if nail curvature is get distorted or thickened and with the repeated procedure it may get distorted.
What’s Recovery Like?
After few hours of the surgery, area around the nail feels numb. With the passage of time you will feel pain and throbbing. You will also notice that swelling, bleeding and fluid comes out of the wound like issues.
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In the first few hours after the surgery, expect the area around your nail to feel numb. After that, you may feel pain and throbbing. You may also notice swelling, bleeding, or fluid coming from your wound like issues.
So at least for 48 hours after the toenail removal surgery, keep your arm or leg in the elevated position above the level of the heart as much as you can. This will minimize the toenail pain and swelling.
Surgical Nail Removal Options For Fungal Nail Infections
It is now proven that lasers beam are best to clear nail fungus. In the laser treatment of nail fungus, the high doses of light help in easy destroying of stubborn fungus. Though this treatment is fairly new but results so far is quite good. Apart from that this surgical nail fungus treatment option is also costly and doesn’t cover by any insurance.
In this procedure carbon dioxide laser beam is used. And these radiations help in easy reduction of inflammation and swelling of your toenail. Another advantage of carbon dioxide laser procedure is that the laser beam has limited penetration power and is concentrated only on matrix tissues. So, that it is quite effective as compared to other toenail fungus surgery procedure where nail matrix is destroyed.
In Chemical matrixectomy (partial or full nail removal) nail surgery procedure involves usage of chemical like sodium hydroxide or phenol in order to partially or permanently burn the nail matrix. This will destroy the piece of infected nail from growing back infected again. Phenol dentures protein and retain anti-bacterial and anesthetic properties.
Partial phenolization is performed, if surgery goal is to narrow the nail plate to correct the inequality of a nail size too wide as per the bed.
After performing the unilateral, partial bilateral or total nail avulsion nail surgery procedure under digital block. A number-1 curette is used for the lateral matrix horn, curettement of the hyponychium, the lateral nail groove, and the proximal matrix.
The most common surgical procedure is Nail avulsion as it is performed on the nail unit. Basically this procedure is performed to remove the body of the nail plate from its primary attachments. At initial, Avulsion of nail plate is performed to allow full exposure of nail matrix before chemical or surgical matricectomy.
Basically, nail Avulsion is frequently used as a therapeutic adjunct in stubborn fungal nail infections, such as acute bacterial infections, chronic onychomycosis.
Whereas in, condition of nail trauma or injuries, avulsion is used to elevate stability of nail bed or to subungual hematoma.
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In this nail fungus removal surgery method low-voltage current is used by means of electrodesiccation and enucleation to dehydrate and detach the wart of the nail unit. After giving a local anesthetic, nail plate is debrided to get easy view of the wart.
Debridement is basically performed in 2 steps which is designed to soften, destroy and detach the wart from its attachment to the dermis.
First Step: (Electrodesiccation)
In this step, needle is applied to the surface of small warts. The passage of current supply will vaporizes the content of the wart. Meanwhile the surgery, bleeding may start flowing when the neovascular dermal capillary loops are disturbed in some way.
To control the bleeding, Monsel solution, or Gelfoam pads electrocautery are used.
Second Step: (Enucleation)
In the second step of the Electrosurgery for toenail fungus removal, the burnt tissue is removed with a curette. To prevent scarring dermis carefully dermis and nail matrix handled.
Also a smoke evacuator or a suction device is used to remove infectious airborne viral particles.
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For controlling recalcitrant warts intralesional injection of bleomycin is very effective. Before approaching for bleomycin, local digital anesthesia is basically used to control the pain caused by injection.
In the bleomycin solution, Dilute concentration of bleomycin (1 µm/mL), mixed with sodium chloride solution is used.
But this too have some potential complications such as scarring, nail dystrophy, persistent local necrosis, and local Raynaud phenomenon etc. in patients having vascular insufficiency. Women at their reproductive age and expecting mother are not recommended to use this.
paronychial region is mainly defined by PNF, LNF, nail walls, the distal cuticle attached to the nail plate and the ventrally situated eponychium. These components of nail, works together to prevent infection and inflammation to reach the proximal nail matrix.
In the process of Matricectomy fungal nail removal surgery, nail matrix is destroyed by the means of surgical, chemical or electrical ablating. Complete removal of viable nail matrix result in loss of nail plate. That’s the reason why new nail plate can’t be generated again after this nail removal surgery method.
There are multiple indications for performing matricectomy, the most common one are recurrent onychocryptosis or ingrown nails. This nail surgery is only considered after all conventional therapies, like partial or complete nail avulsion. Other symptoms for performing matricectomy include chronic nail dystrophies, such as onychogryphosis, onycholysis, psoriatic nail, onychauxis, symptomatic onychomycosis and pincer nail deformity.
Non-Surgical Nail Fungus Treatment
Zetaclear the homeopathic nail fungus treatment, combination of topical and oral medicines that helps to kill nail fungus completely and to regain your beautiful nails again. As it totally made of natural ingredients there is hardly any chance of negative side effects.
Nail fungus is a painful ailment which disfigures the infected nails and makes them yellowish in appearance that makes the affected people to feel embarrass of bringing their hands and bare feet in view of others. But now you don’t need to get embarrassed because zetaclear is the absolute solutions which will relief you fast from this aliment by killing the harmful fungus and making the nails normal again.
Conclusion: Surgical Treatment For Nail Fungus
If the infected toenail is left untreated, then nail fungus can do lot of damage on your nails which end up to last end option i.e nail surgery. And as we all know how costly, high maintenance and number of health risks it covers. So that’s why it is recommended to use topical treatments during early stages of nail fungus.
If you are dealing with the initial stages of toenail infection then topical treatments for toenail fungus are readily available and it have little or almost no side-effects. So, it’s high time to be aware off, if your nail is undergoing to some changes.
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