URG-L: =?iso-8859-1?Q?_ongles_incarn=E9s_aux_urgences?=

[axel ellrodt]

Title: Re: URG-L: M�decin d'urgence ? 180 $ � de l'heure ...

je suis sci�. Tu prends vraiment le temps de faire un bloc digital, une onycectomie partielle jusqu'� la matrice , et une phenolisation , source de brulures et surinfecrtion, aux urgences ?   PS: des fran�ais ont-ils essay� de se procurer le phenol � 80% (selon mes souvenirs de labo: vapeur toxique et �a pique les yeux, produit plus risqu� qu'une usine Seveso) et l'alcool isopropylique aupr�s de leur pharmacien sans se faire menotter ?   ----- Original Message ----- From: f. scarborough To: URG-L Mailing List Sent: Saturday, January 25, 2003 8:08 AM Subject: URG-L: Re: URG-L: RE: URG-L: ongles incarn�s aux urgences Personnelement j'utilise la phenolisation sur les ongles incarnes recidivants selon un protocole que j'ai deja lu (etude Hopital St-Francois-d'Assise Quebec je crois).   Onyxectomie partielle jusqu'a la racine sous garrau (pour eviter le saignement).   Puis phenolisation de la racine avec Q-tips (30 secondes par Q-tips repetable 3 fois). Lavage ensuite avec alcool isopropylique abondant ensuite pour stopper le processus de brulure par le phenol.   Scarby         ----- Original Message ----- From: Martin Chenier To: URG-L Mailing List Sent: Friday, January 24, 2003 7:44 PM Subject: URG-L: RE: URG-L: ongles incarn�s aux urgences 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: -AuthorTitleJournal NameDate of Publication AscendingDescending Secondary: -AuthorTitleJournal NameDate of Publication AscendingDescending Copyright (c) 2000-2003 Ovid Technologies, Inc. Version: rel5.2.0, SourceID 1.6922.1.83   Martin Ch�nier -----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 ?