Artículo
Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial
Autor/es | Córdoba Fernández, Antonio
Lobo Martín, Adrián |
Departamento | Universidad de Sevilla. Departamento de Podología |
Fecha de publicación | 2022 |
Fecha de depósito | 2022-11-11 |
Publicado en |
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Premios | Premio Mensual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y Podología Premio Anual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y Podología |
Resumen | 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 ... 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. |
Cita | Córdoba Fernández, A. y Lobo Martín, A. (2022). Hemostatic efficacy of absorbable gelatin sponges for surgical nail matrixectomy after phenolization—A blinded randomized controlled trial. Journal of Clinical Medicine (JCM), 11 (9), 2420. https://doi.org/10.3390/jcm11092420. |
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