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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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Related Experiment Video

Updated: Jul 7, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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52

Management of ingrowing nail.

Azzam Alkhalifah1, Florence Dehavay2, Bertrand Richert2

  • 1Dermatology Unit, Unaizah College of Medicine, Qassim University, Saudi Arabia.

Hand Surgery & Rehabilitation
|December 21, 2023
PubMed
Summary

Ingrown nail treatment depends on the cause, with conservative options for children and surgical approaches for adults. Surgical success hinges on proper technique, with chemical cautery and soft tissue debulking being effective methods.

Keywords:
Chemical cauteryDebulkingIngrowing nailSurgery

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Area of Science:

  • Dermatology
  • Podiatry
  • Surgical Techniques

Background:

  • The etiology of ingrown nails remains debated, with no consensus on whether the nail plate or surrounding soft tissues are primarily responsible.
  • Current management strategies for ingrown nails are individualized, requiring case-by-case assessment and tailored treatment plans.

Purpose of the Study:

  • To review the established and emerging treatment modalities for ingrown nails.
  • To provide guidance on selecting appropriate interventions based on clinical presentation and patient factors.

Main Methods:

  • Discussion of conservative management strategies, particularly for pediatric cases with transient causes or patient refusal of surgery.
  • Overview of surgical interventions, including nail plate narrowing and soft tissue debulking techniques.
  • Evaluation of chemical cautery as a versatile method for lateral ingrown nail management.

Main Results:

  • Surgical treatments for ingrown nails demonstrate high cure rates when executed correctly, emphasizing operator-dependent outcomes.
  • Chemical cautery is identified as an accessible and adaptable technique effective for most lateral ingrown nail cases.
  • Soft tissue debulking is highlighted as the most effective approach for distal ingrown nails and significantly hypertrophic lateral folds.

Conclusions:

  • Ingrown nail management requires a nuanced approach, balancing conservative and surgical options.
  • The choice between nail plate modification and soft tissue reduction depends on the specific characteristics of the ingrown nail.
  • Proper surgical technique is paramount for achieving successful outcomes in ingrown nail treatment.