Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial

Background: Some studies have recommended combining germinal matrix excision with phenol ablation in the treatment of onychocryptosis. Matrixectomy after phenolization has been shown to be an effective modification to reduce the drawbacks associated with phenolization alone, although it increases th...

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Detalhes bibliográficos
Autores: Córdoba Fernández, Antonio, Lobo Martín, Adrián
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/139328
Acesso em linha:https://hdl.handle.net/11441/139328
https://doi.org/10.3390/jcm11092420
Access Level:acceso abierto
Palavra-chave:Ingrown toenail surgery
Hemostatic gelatin sponges
Bleeding
phenolization
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spelling Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trialCórdoba Fernández, AntonioLobo Martín, AdriánIngrown toenail surgeryHemostatic gelatin spongesBleedingphenolizationBackground: Some studies have recommended combining germinal matrix excision with phenol ablation in the treatment of onychocryptosis. Matrixectomy after phenolization has been shown to be an effective modification to reduce the drawbacks associated with phenolization alone, although it increases the risk of minor postoperative bleeding. The present study aims to assess the effectiveness and safety of gelatin sponges as hemostatic agents in partial matrixectomy after phenolization. Methods: A comparative clinical trial in parallel groups was designed in 74 halluces (44 patients) with stage I, II, and III onychocryptosis. All participants were randomly assigned to 3 groups: Group A (control group), Group B (conventional gelatin sponge), and Group C (high porosity gelatin sponge). Results: The quantified mean blood loss in the first 48 h after surgery in patients in both experimental groups was significantly lower compared to the control group. The lowest mean blood loss was recorded in Group C (p < 0.001) and followed by Group B (p = 0.005). No adverse effects were recorded in any of the patients included in the experimental groups. Conclusions: Hemostatic gelatin sponges were demonstrated to be effective and safe devices for the control of minor postoperative bleeding associated with matrixectomy after segmental phenolization.Premio Mensual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y PodologíaPremio Anual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y PodologíaMDPIPodologíaCTS589: Avances en Cirujía Podológica2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/139328https://doi.org/10.3390/jcm11092420reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Clinical Medicine (JCM), 11 (9), 2420.https://www.mdpi.com/2077-0383/11/9/2420info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1393282026-06-17T12:51:07Z
dc.title.none.fl_str_mv Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
title Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
spellingShingle Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
Córdoba Fernández, Antonio
Ingrown toenail surgery
Hemostatic gelatin sponges
Bleeding
phenolization
title_short Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
title_full Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
title_fullStr Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
title_full_unstemmed Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
title_sort Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
dc.creator.none.fl_str_mv Córdoba Fernández, Antonio
Lobo Martín, Adrián
author Córdoba Fernández, Antonio
author_facet Córdoba Fernández, Antonio
Lobo Martín, Adrián
author_role author
author2 Lobo Martín, Adrián
author2_role author
dc.contributor.none.fl_str_mv Podología
CTS589: Avances en Cirujía Podológica
dc.subject.none.fl_str_mv Ingrown toenail surgery
Hemostatic gelatin sponges
Bleeding
phenolization
topic Ingrown toenail surgery
Hemostatic gelatin sponges
Bleeding
phenolization
description Background: Some studies have recommended combining germinal matrix excision with phenol ablation in the treatment of onychocryptosis. Matrixectomy after phenolization has been shown to be an effective modification to reduce the drawbacks associated with phenolization alone, although it increases the risk of minor postoperative bleeding. The present study aims to assess the effectiveness and safety of gelatin sponges as hemostatic agents in partial matrixectomy after phenolization. Methods: A comparative clinical trial in parallel groups was designed in 74 halluces (44 patients) with stage I, II, and III onychocryptosis. All participants were randomly assigned to 3 groups: Group A (control group), Group B (conventional gelatin sponge), and Group C (high porosity gelatin sponge). Results: The quantified mean blood loss in the first 48 h after surgery in patients in both experimental groups was significantly lower compared to the control group. The lowest mean blood loss was recorded in Group C (p < 0.001) and followed by Group B (p = 0.005). No adverse effects were recorded in any of the patients included in the experimental groups. Conclusions: Hemostatic gelatin sponges were demonstrated to be effective and safe devices for the control of minor postoperative bleeding associated with matrixectomy after segmental phenolization.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/139328
https://doi.org/10.3390/jcm11092420
url https://hdl.handle.net/11441/139328
https://doi.org/10.3390/jcm11092420
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine (JCM), 11 (9), 2420.
https://www.mdpi.com/2077-0383/11/9/2420
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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