Preprint
Review
An Update for UK Podiatrists Performing Toenail Surgery on Patients Who Are Taking Antithrombotic Medications: It’s About Bleeding Time
Altmetrics
Downloads
4450
Views
2037
Comments
0
This version is not peer-reviewed
Abstract
Nail surgery for the permanent removal of all or part of the nail unit can be performed via incisional or physically ablative techniques for conditions such as ingrown, mycotic, or dystrophic toenails. In the United Kingdom podiatric community, where phenol techniques are the standard of care for ablation of the matrix, there remains confusion about the management of patients undergoing nail surgery who are concurrently taking antithrombotic medication(s). The aim of this paper was to review the literature describing treatment strategies for antithrombosed patients undergoing nail surgery. However, having found limited evidence, the authors considered relevant and associated literature in the field of cutaneous/dermatological surgery and extrapolated those findings for patients undergoing nail avulsion surgery. A case-by-case risk assessment is warranted in all patients but as a general rule, the podiatrist can perform nail surgery without the patientceasing their antithrombotic medication.
Keywords:
Subject: Medicine and Pharmacology - Immunology and Allergy
Copyright: This open access article is published under a Creative Commons CC BY 4.0 license, which permit the free download, distribution, and reuse, provided that the author and preprint are cited in any reuse.
Submitted:
22 May 2021
Posted:
24 May 2021
You are already at the latest version
Alerts
This version is not peer-reviewed
Submitted:
22 May 2021
Posted:
24 May 2021
You are already at the latest version
Alerts
Abstract
Nail surgery for the permanent removal of all or part of the nail unit can be performed via incisional or physically ablative techniques for conditions such as ingrown, mycotic, or dystrophic toenails. In the United Kingdom podiatric community, where phenol techniques are the standard of care for ablation of the matrix, there remains confusion about the management of patients undergoing nail surgery who are concurrently taking antithrombotic medication(s). The aim of this paper was to review the literature describing treatment strategies for antithrombosed patients undergoing nail surgery. However, having found limited evidence, the authors considered relevant and associated literature in the field of cutaneous/dermatological surgery and extrapolated those findings for patients undergoing nail avulsion surgery. A case-by-case risk assessment is warranted in all patients but as a general rule, the podiatrist can perform nail surgery without the patientceasing their antithrombotic medication.
Keywords:
Subject: Medicine and Pharmacology - Immunology and Allergy
Copyright: This open access article is published under a Creative Commons CC BY 4.0 license, which permit the free download, distribution, and reuse, provided that the author and preprint are cited in any reuse.
Sharp Resection of Hypergranulation Tissue from Only One Sulcus in a Bilateral Stage 3 Onychocryptosis: A Case Report
Ian Reilly
,
2023
Patient Blood Management in Microsurgical Procedures for Reconstructive Surgery
Maria Beatrice Rondinelli
et al.
,
2023
MDPI Initiatives
Important Links
© 2024 MDPI (Basel, Switzerland) unless otherwise stated