Nail Surgery

Nail surgeries are performed to treat various nail conditions or injuries, including infections, deformities, and traumatic damage. The specific type of surgery depends on the underlying issue and the desired outcome.

Common Nail Surgeries:

1. Nail Avulsion:

Procedure: Removal of the entire nail, either partially or completely. This can be done for severe infections, nail trauma, or persistent ingrown toenails.
Outcome: The nail usually grows back over time, although it may take several months. In some cases, the nail may grow back with a different appearance.

2. Matrixectomy:

Procedure: Removal or destruction of the nail matrix, the tissue where the nail grows from. This is done to prevent regrowth of a problematic nail, such as in cases of recurrent ingrown toenails or severe nail deformities.
Outcome: The affected nail will not regrow. This procedure is used when permanent removal of the nail is desired or necessary.

3. Nail Debridement:

Procedure: Removal of damaged or infected nail tissue. This is often done in cases of fungal infections or traumatic injuries.
Outcome: Helps in the treatment of infection or trauma by removing unhealthy tissue and allowing healthier nail growth.

4. Excision of Nail Bed Lesions

Procedure: Removal of lesions, such as warts, cysts, or tumors from the nail bed. This may involve a surgical procedure to excise the lesion and may require follow-up care to ensure complete removal and healing.
Outcome: Aims to remove the lesion and restore normal nail function and appearance.

5. Nail Reconstruction:

Procedure: Repair or reconstruction of the nail and nail bed, which may involve grafts or other techniques to restore the appearance and function of the nail. This is often done after severe trauma or injury.
Outcome: Can restore the appearance and function of the nail, but results may vary based on the extent of the damage and the specific procedure used.

Considerations:

Pre-Surgical Evaluation: A thorough examination by a healthcare provider to assess the condition and determine the most appropriate surgical approach.
Anesthesia: Local anesthesia is typically used for nail surgeries to numb the area and minimize discomfort.
Post-Surgical Care: Includes keeping the area clean and dry, following wound care instructions, and monitoring for signs of infection or complications.
Recovery Time: Varies depending on the procedure and individual healing response. Full recovery may take weeks to months, especially for nail regrowth.

Risks and Complications:

Infection: Risk of infection at the surgical site.
Bleeding: There is a risk of excessive bleeding during or after the procedure. We prefer to use a tourniquet to minimise this risk. A tight dressing will be kept after the procedure to avoid the risk of postoperative bleeding.
Nail Abnormalities: Changes in nail growth, color, or texture, particularly if the nail matrix is affected.
Pain and Discomfort: Some pain or discomfort is common following nail surgery.

We at Subodha, have a dedicated dermatosurgery operation theatre. We perform all the above mentioned surgeries and in addition, we do complicated nail surgeries including pincer nail correction with flap, widening of nail bed and much more.