Tips about the procedure

**insert a shot of a well cauterized nail bed. S almost blackened his and it bled very little. Yet, it still healed really well. 

Also show trick re tying the tourniquet. 

  • This procedure can be performed on currently infected nail folds, without increased of infection. 
  • It does not matter whether you use epinephrine in your local anesthetic, despite conventional wisdom. 
  • Use plenty of local in your digital block - toes are harder to freeze than fingers.
  • Squeeze the blood from the toe as you apply the tourniquet to decrease oozing during the procedure.
  • Excise aggressively - most beginners do not remove enough tissue.
  • Cauterize well after the procedure - or else they bleed profusely.
  • Much less pain relief is needed post-procedure than when you hack into nail beds. Codeine usually sufficient. 

If you have any other tips you would like to suggest, contact us. 

Intro to Vandenbos
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Map: Vandenbos ingrown toenail procedure (481)
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  • START - Liz
  • Take vital signs
  • Introduction
  • Character set
  • Tips about the procedure

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