Nail removal

Surgery for ingrown toe nail is reserved for patients that have reoccurring symptoms or the problem has not been resolved after using non-surgical options. The main aim of the surgery is to remove part or the entire nail to treat the problem. These surgical procedures commonly take place under a local anaesthetic by blocking the sensation to the toe.

Wedge resection

In wedge resection part of the nail on the side of the problem is removed to make the nail narrower and straighter. A chemical called phenol is then applied to the nail bed to stop the nail form growing back.

Zadek’s procedure

Sometimes a slightly more invasive procedure is performed called Zadek’s procedure. In this procedure a cut is made at the corner of the base of the nail and the root of the nail is also removed with part of the nail on the side of the problem. The cut is then stitched closed. This procedure has a lower risk of the toe nail coming back but will leave a small scar at the corner of the nail.

Entire toe nail removal (toe nail avulsion)

This procedure is reserved when the entire nail is much thickened digging into the skin. It involves removing of the entire nail and nail bed and treating the nail bed with phenol. It is perfectly safe not to have a nail on the toe and your toe will function with no problem.

Prior to the procedure

There is no special preparation apart from ensuring that you wear loose shoes or open-top sandals.

Recovery

The procedures last approximately 30 minutes and are performed as day case procedures which means you are expected to go home on the same day.  Your toe will be wrapped with a bandage and you will be expected to keep your foot elevated for a few days to help reduce the swelling. Recovery is normally a few weeks. You will need to take pain killers especially during the early days after the surgery.

Risks of the procedure

There is a small risk of infection which most times can be treated with antibiotics. Sometimes the nail may grow back and may need a repeat operation.