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Management of Bleeding in Nail Surgery.
Kendall Billick1, Bertrand Richert2
1Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Journal of Cutaneous Medicine and Surgery
|December 17, 2025
Summary
Managing bleeding in nail surgery requires specialized skills due to the nail unit's unique anatomy. This review covers current evidence-based tools and techniques for effective hemostasis before, during, and after nail procedures.
Area of Science:
- Podiatric Surgery
- Dermatologic Surgery
- Surgical Hemostasis
Background:
- Nail surgery presents unique hemostatic challenges due to the specific anatomy of the nail unit.
- Effective bleeding management is crucial for successful surgical outcomes in this area.
Purpose of the Study:
- To provide a structured review of current evidence on hemostasis in nail surgery.
- To outline the available tools and techniques for managing bleeding in patients undergoing nail procedures.
Main Methods:
- Systematic literature search for recent evidence on nail surgery hemostasis.
- Structured review and synthesis of findings related to bleeding management strategies.
Main Results:
- Identified specific challenges in achieving hemostasis within the nail unit.
- Detailed current armamentarium of tools and techniques for pre-, intra-, and post-operative bleeding control.
- Highlighted the importance of specialized skills for nail surgery hemostasis.
Conclusions:
- Hemostasis in nail surgery necessitates tailored approaches and specialized expertise.
- The review provides a comprehensive overview of evidence-based practices for managing bleeding in nail surgery.
- Further research may refine techniques for optimal patient outcomes.
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