Version 1
: Received: 22 May 2021 / Approved: 24 May 2021 / Online: 24 May 2021 (10:41:07 CEST)
How to cite:
Reilly, I.; Blandford, T. An Update for UK Podiatrists Performing Toenail Surgery on Patients Who Are Taking Antithrombotic Medications: It’s About Bleeding Time. Preprints2021, 2021050559. https://doi.org/10.20944/preprints202105.0559.v1.
Reilly, I.; Blandford, T. An Update for UK Podiatrists Performing Toenail Surgery on Patients Who Are Taking Antithrombotic Medications: It’s About Bleeding Time. Preprints 2021, 2021050559. https://doi.org/10.20944/preprints202105.0559.v1.
Cite as:
Reilly, I.; Blandford, T. An Update for UK Podiatrists Performing Toenail Surgery on Patients Who Are Taking Antithrombotic Medications: It’s About Bleeding Time. Preprints2021, 2021050559. https://doi.org/10.20944/preprints202105.0559.v1.
Reilly, I.; Blandford, T. An Update for UK Podiatrists Performing Toenail Surgery on Patients Who Are Taking Antithrombotic Medications: It’s About Bleeding Time. Preprints 2021, 2021050559. https://doi.org/10.20944/preprints202105.0559.v1.
Abstract
Nail surgery for the permanent removal of all or part of the nail unit can be performed via incisional or physically ablative techniques for conditions such as ingrown, mycotic, or dystrophictoenails. In the United Kingdom podiatric community, where phenol techniques are the standard of care for ablation of the matrix, there remains confusion about the management of patients undergoing nail surgery who are concurrently taking antithrombotic medication(s). The aim of this paper was to review the literature describing treatment strategies for antithrombosed patients undergoing nail surgery. However, having found limited evidence, the authors considered relevantand associated literature in the field of cutaneous/dermatological surgery and extrapolated those findings for patients undergoing nail avulsion surgery. A case-by-case risk assessment is warranted in all patients but as a general rule, the podiatrist can perform nail surgery without the patientceasing their antithrombotic medication.
Keywords
nail surgery, antithrombotics, anticoagulation, antiplatelet, bleeding.
Subject
MEDICINE & PHARMACOLOGY, Allergology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
