Bolzon Anna, Richert Bertrand, Cannata Giuseppe Emilio, Sechi Andrea
Dermatology Unit, Department of Medicine, University of Padua.
Department of Dermatology, Saint Pierre and Brugmann University Hospitals, Université Libre de Bruxelles.
Dermatol Reports. 2025 Aug 22;17(3). doi: 10.4081/dr.2025.10216. Epub 2025 Feb 4.
Nail surgery, commonly performed to manage a wide range of nail disorders, is associated with potential complications that can affect patients' recovery and outcomes. This review provides a detailed overview of these possible complications and strategies for their prevention. Surgical complications in nail procedures can be classified into specific and non-specific. Specific complications are associated with damage to particular structures of the nail unit, such as the matrix, nail bed, or hyponychium. Non-specific complications, such as hematoma, infection, and necrosis, may be a consequence of any surgical procedure and are not directly related to the anatomical structures involved in the operation. Recognizing factors that can contribute to these complications, such as the choice of surgical techniques, patient comorbidity management, and the implementation of postoperative care practices, is essential to reduce their incidence. This work reports the current evidence and best practices in order to reduce surgical risks and improve patient outcomes. Examining each complication and its prevention strategies in detail, this review is a practical resource for clinicians who manage nail surgery cases.
甲手术通常用于处理多种指甲疾病，但可能会引发一些并发症，影响患者的恢复和治疗结果。本综述详细概述了这些可能的并发症及其预防策略。甲手术的并发症可分为特定性和非特定性。特定性并发症与甲单元的特定结构损伤有关，如甲母质、甲床或甲下皮。非特定性并发症，如血肿、感染和坏死，可能是任何手术的结果，与手术涉及的解剖结构无直接关系。认识到可能导致这些并发症的因素，如手术技术的选择、患者合并症的管理以及术后护理措施的实施，对于降低其发生率至关重要。本文报告了当前的证据和最佳实践，以降低手术风险并改善患者治疗结果。本综述详细研究了每种并发症及其预防策略，是处理甲手术病例的临床医生的实用参考资料。
