In
the majority of cases the great toe is affected: the usually
constitutionally wider nail due to some external cause (incorrect
trimming, tight shoes) is squeezed on one or both sides against
the surrounding tissues leading to an inflammatory response.
This is called the "ingrown toenail" symptom complex:
pain, redness, swelling, discharge, inflammatory
granulation tissue. The condition always affects both sides of the toe,
even if symptoms do not occur on both sides at the same time.
We can perform surgery on only the affected side, however,
the un-operated side will eventually exhibit similar symptoms,
and the procedure will have to be repeated. The second option
is to perform surgery on both sides, in which case we completely
solve the problem with one surgery and one healing period.
The choice is completely with the patient, professionally
both are acceptable.
Examination and consultation
Surgery is always preceded
by evaluation by the surgeon. Next, we inform the patient
about the surgery, anesthesia, home care, and possible complications.
The surgery can be performed immediately following the examination
and discussion, or at a later date. If the patient decides
on surgery, a "DECLARATION" has to be signed, which
contracts the clinic to perform the surgery. The patient
also has to take responsibility for wound care at home.
Charge
for examination and consultation: 10.000 HUF > Euro
The procedure
Surgery involves, after local
anesthesia, the excision of the ingrown
nail edge and narrowing
the nail to the desired width by destruction of
the lateral nail producing cells, using laser. Thereby we
can set the
width of the nail such that it will not push against the
surrounding tissues. This procedure results in complete recovery.
Possible complications
No doctor can guarantee a
complication-free surgery. Complications can arise even following
the most carefully performed procedures. Possible early
complications:
post-operative bleeding and inflammation, are easily treatable,
therefore as soon as symptoms appear patients should contact
their surgeon. On the day following surgery, after soaking
for five minutes in warm water, the patient should unwrap
the dressing and remove the tampon placed by us with a quick
resolute movement. Minor bleeding might occur and should
not cause concern. The wound should be rinsed thoroughly,
patted dry and dressed; this will tamponade the bleeding.
Inflammatory complications can only develop, if the twice
a day soakings are neglected, because if the wound becomes
dry the accumulating secretions can not drain. If this occurs
the wound has to be soaked thoroughly and then by applying
firm pressure to the sides secretions should squeezed out
and the inflammation will resolve within 24 hours. Later
complications include recurrence of ingrown toenail if for
some reason the nail-producing cells were not entirely eliminated.
According to our statistics this happens only in 4-5% of
the cases. In such cases we can of course repeat the surgery
under warranty, without the patient having to pay additional
surgical fees.
Postoperative care
The day after ingrown toenail
surgery, the dressing and tampon need to be removed. The
wound should be rinsed with warm water twice a day, patted
dry and covered with band aid. Discharge fromhealing wounds
after laser surgery is normal. Reddening of the wound boarder
is also a part of the normal healing process, and not indication
of inflammation. After a week at home it is practical to
leave the wound open, this will expedite the healing process.
Powders and creams should not be applied to the wound. Complete
recovery is between 4-6 weeks depending on the pre-surgery
condition of the nail. Please keep your follow-up appointments,
failure to appear will void the guarantee.
Fees
Charge
for examination and consultation: 10.000 HUF > Euro
Surgery under local anesthesia: 22.000 - 25.000 HUF each side. > Euro
The price decreases by the number of nail-fringes. More...
Operation of 1 nail-fringe: 25.000 HUF per nail-fringes > Euro
Operation of 2 nail-fringes: 24.000 HUF per nail-fringes > Euro
Operation of 3 nail-fringes: 23.000 HUF per nail-fringes > Euro
Operation of 4 nail-fringes: 22.000 HUF per nail-fringes > Euro
Charge of the operation carried out under warranty in
case of re-growth: 0 HUF > Euro
If the examination is immediately followed by surgery, we do not charge a visit
fee.
Appointments:
Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766
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