Wedge Resection of a Toenail - Procedure

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Wedge resection for a ingrown toenail:
- verbal consent obtained from patient
- advised a piece of nail and nail bed will be removed and diathermied
- advised that toenail may grow back
- explained risk of bleeding and nerve damage
- Allergies to Local anaesthetic excluded
- Digital nerve block infiltrated into toe to achieve numbness 0.1% Xylocaine 10ml
- Regional Anaesthesia:  5ml infiltrated into the deep and superficial peroneal nerve and anaestheisa achieved
- Wedge of toeanail cut and removed
- gutter cleaned and fragments of toenail removed
- Diathermy for bleeding
- wound cleaned and dressed and patient advised to return if any uncontrollable bleeding

Keywords:  Wedge Resection toenial, ingrown toenail, +wedgerx

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