the Healing Process After Nail Removal Surgery - Surgery

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The wound healing process?


I had part of my nail removed a little over a week ago due to a problem with paronychia, but this is the third time I have undergone this procedure.
This time, the wound looks different from the previous times because the tissue underneath has risen to the same level as the nail.
In the past two removals, this did not happen.
Currently, there is still some discharge, but it does not contain pus or anything similar.
I'm unsure if this is part of the healing process.

Zai Zai, 20~29 year old female. Ask Date: 2019/03/19

Dr. Li Zhonghuai reply Surgery


Hello! To check if the nail fold polyp has regrown, if so, you will need to return for a follow-up appointment to have it revised, so that the nail can grow properly.
Take care! Changhua Hospital cares about you!

Reply Date: 2019/03/19

More Info


After undergoing nail removal surgery, particularly due to issues like paronychia, it's essential to understand the healing process and what to expect during recovery. Your experience of having the nail partially removed multiple times suggests that you are familiar with the procedure, but each instance can vary significantly in terms of healing and outcomes.


Understanding the Healing Process
1. Initial Healing Phase: After the surgery, the body begins the healing process immediately. The first few days are critical as the body works to stop any bleeding and start forming a clot. During this time, you may notice some swelling and tenderness around the area. It’s also common to have some discharge, which can be a mix of blood and serum, as the body begins to heal.

2. Granulation Tissue Formation: The appearance of the tissue beneath the nail bed rising to the level of where the nail used to be is known as granulation tissue. This is a normal part of the healing process. Granulation tissue is a sign that your body is working to heal the wound. It is typically red or pink and may appear moist. This tissue is essential as it provides a foundation for new skin to form.

3. Discharge and Secretion: The presence of discharge, especially if it is clear or slightly yellowish, can be part of the normal healing process. However, if the discharge becomes thick, green, or has a foul odor, it could indicate an infection, and you should consult your healthcare provider. The absence of pus is a good sign, suggesting that there may not be an active infection.

4. Duration of Healing: The healing time can vary based on several factors, including the extent of the surgery, your overall health, and how well you care for the wound. Generally, the initial healing phase can take a week or two, but complete healing, including the formation of new nail tissue, can take several weeks to months.

5. Signs of Complications: While some discharge is normal, you should be vigilant for signs of complications. These include:
- Increased redness or swelling around the site
- Persistent or worsening pain
- Foul-smelling discharge
- Fever or chills, which could indicate a systemic infection
6. Post-Operative Care: Proper care of the surgical site is crucial for healing. Keep the area clean and dry, and follow any specific instructions given by your surgeon regarding wound care. If advised, you may need to change dressings regularly and avoid soaking the area until it has healed sufficiently.

7. Follow-Up Appointments: Make sure to attend any follow-up appointments with your healthcare provider. They can assess the healing process and address any concerns you may have. If you notice any unusual changes or have persistent symptoms, do not hesitate to reach out to them.


Conclusion
In summary, the healing process after nail removal surgery can vary, and the presence of granulation tissue and some discharge can be normal signs of healing. However, it is essential to monitor the wound for any signs of infection or complications. If you have any concerns about your healing process or if the symptoms worsen, it is always best to consult with your healthcare provider for personalized advice and treatment. Your health and recovery are paramount, and staying informed and proactive will help ensure a smooth healing process.

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