Document Detail


Surgical treatment of in-growing toenails performed by senior house officers: are they good enough?
MedLine Citation:
PMID:  15792384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although the surgical treatment of in-growing toenails is a common procedure, the success of ingrown toenail surgery is extremely variable and recurrences frequently impair the quality of lift of those who have this condition. In most hospitals this procedure is commonly performed by junior surgical trainees who may have little experience. AIM: We proposed to find out if the success of this procedure is operator-dependent by comparing the results of standard of toenail surgery performed by basic surgical trainees (BSTs) in our hospitals with already published data. METHODS: A retrospective analysis of nail bed ablation surgery performed by BSTs under local anaesthesia over a 15-month period in a district general hospital was conducted. RESULTS: 106 phenol ablations and 46 germinal matrix excisions were prformed. Symptomatic recurrence rates 12 months following the procedure were 5.7% for phenol ablation and 4.3% for germinal matrix excisions. CONCLUSION: Our results are comparable to published data, and we conclude that toenail ablation surgery can be just as successfully performed by junior surgeons after relatively little training in the procedure.
Authors:
Y S Lau; J M C Yeung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scottish medical journal     Volume:  50     ISSN:  0036-9330     ISO Abbreviation:  Scott Med J     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-28     Completed Date:  2005-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  22-3     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Victoria Infirmary, Glasgow. yu.lau@ndos.ox.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence / standards*
Humans
Medical Staff, Hospital / standards*
Nails, Ingrown / surgery*
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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