Do I Need to Change Dressings After Nail Removal Surgery? - Surgery

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Questions about dressing changes after nail removal?


Hello doctor, I had a nail extraction on November 6th, and I have a follow-up appointment on November 10th.
During this period, do I need to change the dressing myself? I had one stitch because of bleeding that wouldn't stop, which is why I needed the stitch.

Yìwù yì jūnrén, 20~29 year old female. Ask Date: 2015/11/07

Dr. Li Zhonghuai reply Surgery


Hello! Please clean the wound daily with sterile saline solution, then apply antibiotic ointment.
Avoid contact with tap water.
Generally, applying pressure with a gauze pad is sufficient to stop bleeding; if bleeding does not stop, please return for a follow-up as soon as possible.
Wishing you a speedy recovery!

Reply Date: 2015/11/07

More Info


After undergoing nail removal surgery, it is essential to follow proper post-operative care to ensure optimal healing and prevent complications. In your case, since you had a stitch placed due to bleeding, it is crucial to manage the wound carefully until your follow-up appointment on November 10.

Generally, after nail removal, the area may be sensitive and prone to infection. Here are some important considerations regarding dressing changes and wound care:
1. Follow Your Doctor's Instructions: The first and foremost rule is to adhere to the specific instructions given by your surgeon or healthcare provider. If they advised you to keep the dressing on until your follow-up appointment, it is best to do so unless there are signs of complications.

2. Assess the Dressing: If the dressing becomes wet, soiled, or starts to come off, you may need to change it. Use sterile materials to avoid introducing bacteria into the wound. Clean the area gently with saline or as directed by your doctor before applying a new dressing.

3. Signs of Infection: Monitor the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it may be necessary to change the dressing more frequently and consult your doctor sooner than your scheduled appointment.

4. Avoid Excessive Moisture: While it is important to keep the area clean, try to avoid soaking the wound in water (like in baths or swimming) until it has healed sufficiently. Showers are generally acceptable, but be cautious to keep the area dry.

5. Pain Management: If you experience pain or discomfort, over-the-counter pain relievers may help, but consult your doctor for recommendations, especially if you have any underlying health conditions or are taking other medications.

6. Stitch Care: Since you have a stitch in place, be careful not to pull or tug at the area. If the stitch becomes loose or if you have concerns about it, reach out to your healthcare provider for advice.

7. Follow-Up Appointment: During your follow-up on November 10, your doctor will assess the healing process, remove any stitches if necessary, and provide further instructions on wound care. Be sure to ask any questions you may have during this visit.

In summary, while you may need to change the dressing if it becomes compromised, it is crucial to follow your doctor's specific instructions regarding wound care. Keeping the area clean and monitoring for signs of infection will help ensure a smooth recovery after your nail removal surgery. If in doubt, do not hesitate to contact your healthcare provider for guidance.

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