STUDY ABOUT USAGE OF ALCOHOLIC CAUTERY IN INGROWN TOENAIL

Objectives: Alcoholic cautery usage in surgery in ingrown toenail. Study Design: Experimental design of the study.Place and Duration of Study: This study was conducted at the Department of Surgery at Services Hospital lahore, From Jan 2015_Jan 2016.Materials and Methods: 1000 patients of ingrown toenail were included in this study. Alcoholic cautery was used with the surgery in every case that is included in the study. Wedge resection procedure of the surgery was used in the toe nail and nail fold. After excision of the affected portion of the ingrown nail fold and nail bed, the cotton swab soaked in 100% methyl alcohol was put on the excision area for 2 -3 minutes.The questionnaire was designed to record age, sex, socio economic status, area distribution, family history of the ingrown toe nail patients, date of surgery, surgery type, time duration of procedure, stay in the hospital, return to work time and healing time. Patients follow up is also recorded. The fully informed written consent of every patient prior to procedure was also recorded. The data was analyzed by SPSS version 10.

Results: In this prospective experimental study incidence of ingrown toe nail was maximum (55.3%) 553 cases at the age of 14-19 years & minimum (11.2%) 112 cases at the age of 26-30 years. It was seen that the patients of ingrown toe nail were maximum (66.3%) 663 cases of male as compared to female (33.7%) 337 cases. There were more cases in urban population that was observed (77.9%) 779 cases and rural population had (22.1%) 221 cases. The patients of ingrown toe nail were maximum (66.3%) 663 cases in high socio economic status group and minimum (10.4%) 104 cases in low socio economic group. In our study the recurrence of ingrown toe nail after alcoholic cautery was (05%) 50 cases.

The procedure for ingrown toe nail was conducted within 2-6 hours after admission of the patient. The operation time was 30-60 minutes. The patients discharged after operation within 1-3 hours.. The healing time and return to work was 1-2 weeks.Conclusion: It was concluded that use of alcoholic cautery with surgery in ingrown toenail the recurrences were reduced.