Informed Consent for Nail Surgery and Matricectomy
Informed Consent for Nail Surgery and Matricectomy
Section 1: Patient and Clinician Information
Section 2: Nature and Purpose of the Procedure
Nail surgery is performed to treat painful, ingrown, infected, or deformed nails. The procedure is typically performed under local anesthesia (digital nerve block) in an outpatient setting. (1) Partial Nail Avulsion: the surgeon cuts and removes only the offending edge or border of the nail plate. (2) Total Nail Avulsion: the entire nail plate is separated from the nail bed and removed. (3) Matricectomy: to prevent the nail border from regrowing, a chemical agent (typically phenol or sodium hydroxide) or surgical excision is applied to destroy the nail matrix (the tissue from which the nail grows). The surgical site is then irrigated, dressed with ointment, and bandaged.
Section 3: Material Risks and Potential Complications
Section 4: Expected Benefits
The expected benefits of nail surgery include the resolution of pain, elimination of localized chronic infection, correction of ingrown nail borders, and prevention of future recurrence.
Section 5: Reasonable Alternatives
Section 6: Postoperative Care Instructions
To promote healing and reduce the risk of complications, you must follow these instructions: (1) Keep the foot elevated for the first 12 to 24 hours to minimize swelling and throbbing. (2) Keep the initial dressing dry and intact for 24 hours. (3) After 24 hours, perform daily warm Epsom salt foot soaks, apply prescribed topical ointment, and apply a clean bandage. (4) Wear open-toed shoes or loose footwear that does not put pressure on the treated digit. (5) Avoid strenuous activities or running until cleared by your clinician.
Section 7: Patient Acknowledgment and Authorization
I certify that I have read and understand this consent form. The clinician has explained the procedure, its risks, benefits, and alternatives to my satisfaction. I have had the opportunity to ask questions, and I voluntarily consent to the proposed nail surgery.