|
Results of your search:
nail bed.mp. [mp=title, abstract, full
text, keywords, caption text]
|
|
Citation displayed: 1 of 1
Go to Record:
|
Citation
Manager • Help
• Logoff
|
Citation 1.
Link to... • •
Accession Number
00075320-100000000-00128
Author
Rounding,
C; Bloomfield,
S
Title
Surgical treatments for ingrowing toenails.
Source
Cochrane Database of Systematic Reviews.
Issue 4, 2002.
Abstract
Background:
Ingrowing toenails are a common condition which, when recurrent and painful, are
often treated surgically.
Objectives:
To evaluate the effectiveness of methods of the surgical
treatment of ingrowing toenails.
Search strategy:
Electronic database searching (CENTRAL, MEDLINE, EMBASE, CINAHL) followed by
investigation of reference lists of the papers identified from the initial
search.
Selection criteria:
Any randomised (or quasi-randomised) controlled trial which compares one form
of surgical removal of all or part of a toenail
due to its impact on the soft tissues to another or others. Studies must have a
minimum follow period of six months and aim to permanently remove the
troublesome portion of the nail.
Data collection and analysis:
Data extraction was carried out independently by the two reviewers using a
pre-derived data extraction form and entered into RevMan. Categorical outcomes
were analysed as odds ratios with 95% confidence intervals.
Main results:
Avulsion with phenol versus surgical excision
Phenolisation combined with simple avulsion of a nail is more effective than the use of more invasive
excisional surgical procedures to prevent symptomatic recurrence at six months
or more (OR 0.44 CI 95% 0.24 - 0.80).
Avulsion with phenol versus avulsion without phenol
The addition of phenol, when performing a total or partial nail avulsion dramatically reduces the rate
of symptomatic recurrence, (OR 0.07 95% CI 0.04 - 0.12). This is offset
by a significant increase in the rate of post-operative infection when phenol
is used (OR 5.69 95% CI 1.93 - 16.77).
Conclusions:
The evidence suggests that simple nail
avulsion combined with the use of phenol, compared to surgical excisional
techniques without the use of phenol, is more effective at preventing
symptomatic recurrence of ingrowing toenails.
The addition of phenol when simple nail
avulsion is performed dramatically decreases symptomatic recurrence, but at the
cost of increased post-operative infection.
|
Citation Manager:
Display, Print, Save, or Email Citations 
|
|
Citations
|
Fields
|
Citation
Format
|
Action
|
|
Selected
Citations
All in this set (1-1)
and/or Range:
|
Citation
(Title,Author,Source)
Citation +
Abstract
Citation + Abstract +
Subject Headings
Complete Reference
|
Ovid
BRS/Tagged
Reprint/Medlars
Brief (Titles) Display
Direct Export
Include
Search History
|
|
|
Sort
Keys
|
|
Primary:
|
-
Author
Title
Journal Name
Date of Publication
Ascending
Descending
|
|
Secondary:
|
-
Author
Title
Journal Name
Date of Publication
Ascending
Descending
|
|
Copyright (c) 2000-2003 Ovid Technologies, Inc.
Version: rel5.2.0, SourceID 1.6922.1.83
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]] On Behalf Of axel
ellrodt
Sent: 24 janvier, 2003 15:38
To: URG-L Mailing List
Subject: URG-L: ongles incarn�s
aux urgences
grave
question: vous faites les traitements d'ongle incarn� aux urgences ? A
toute heure ? Dans tous les cas
?
Moi
�a me d�frise un peu quand la salle d'attente est pleine et qu'un ongle incarn�
se pointe au bout de son ma�tre et de quelques mois d'�volution, de
pr�f�rence un week end, et qu'il est press� de recevoir incontinent un
traitement qui ne se fait pas en 12 minutes. Je suis
s�r que �a n'arrive qu'� moi. Ils m'observent.
Question
subsidiaire: Quelle est votre technique pr�f�r�e ?
