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Nail Surgery Myths and Truths.
Journal of Drugs in Dermatology : JDD
|June 19, 2020
Summary
Dispelling common myths in nail surgery, this study found that epinephrine is safe, and specific wound care practices are recommended. Evidence supports alternatives for dressings and safe digital dressing techniques.
Area of Science:
- Dermatology
- Surgical Procedures
Background:
- Limited randomized trials exist for nail surgery procedures.
- Lack of established guidelines may lead to misconceptions among dermatologists regarding nail surgery best practices and post-operative care.
Purpose of the Study:
- To identify and address common myths in nail surgery.
- To provide evidence-based recommendations for nail surgery practices and wound care.
Main Methods:
- Five prevalent myths regarding nail surgery were identified.
- A comprehensive PubMed literature search was conducted to validate or refute these myths.
Main Results:
- Epinephrine can be safely utilized in nail surgery.
- Hydrogen peroxide and tap water are recommended for wound cleansing.
- Prophylactic topical antibiotics are not advised; calcium alginate or amniotic membrane dressings are effective alternatives, and digital dressings are safe with proper technique.
Conclusions:
- Despite a lack of specific randomized controlled trials in nail surgery, evidence from related fields can inform dermatologists.
- Current evidence refutes several common misconceptions about nail surgery, promoting safer and more effective patient care.
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