Ingrown Toenail Management Across Mental Health and Other Health Facilities in Nigeria: A Review of Anesthetic and Surgical Management

David Chibututu Nwobu, E. Ezema, Tricia Okoye, A. O. Ugwu, Ogochukwu Agazie, I. O. Oranusi, Eliakim Hilkiah, Emmanuel Chiebuka, John Mmadubuchi, Chinenye Loveth Aleke
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Abstract

Background: The management of ingrown toenails in Nigeria is notably underdeveloped, posing potential challenges for patients in mental health facilities and beyond. Addressing this issue requires an interdisciplinary approach and collaboration with other healthcare professionals. Furthermore, there is an important need for a comprehensive review of the treatment guidelines for the anesthetic and surgical techniques utilized in its treatment to improve the quality of patient care. Methods: We employed a structured narrative approach to identify and review available articles on ingrown toenail management in mental health and other health facilities in Nigeria. We aimed to evaluate the anesthetic and surgical techniques utilized in managing these patients. Results: No documented treatment for ingrown toenails was identified among patients in mental health facilities across Nigeria. While various surgical techniques are employed for management in other health facilities, the specific anesthesia techniques utilized are unclear. Conclusions: A unified management protocol and guideline for ingrown toenails and developing podiatry training in Nigeria are imperative. Developing and implementing an effective treatment protocol improves the quality of care and widens coverage for all patients. In addition, establishing podiatry training across educational facilities could bridge this gap in ensuring optimal care for these patient populations.
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尼日利亚精神卫生机构和其他卫生机构的嵌甲管理:麻醉和手术管理综述
背景:在尼日利亚,内生脚趾甲的治疗技术明显落后,这给精神卫生机构及其他机构的患者带来了潜在的挑战。解决这一问题需要跨学科的方法以及与其他医疗保健专业人员的合作。此外,还亟需对用于治疗嵌甲的麻醉和手术技术的治疗指南进行全面审查,以提高患者护理质量:我们采用了一种结构化的叙述方法,对尼日利亚精神卫生机构和其他卫生机构中有关嵌甲治疗的现有文章进行了鉴别和回顾。我们的目的是评估在处理这些患者时使用的麻醉和手术技术:结果:在尼日利亚各地的精神卫生机构中,没有发现对嵌甲患者进行治疗的记录。虽然其他医疗机构采用了各种手术技术进行治疗,但具体使用的麻醉技术尚不清楚:结论:制定统一的内生脚趾甲治疗方案和指南以及在尼日利亚开展足病培训势在必行。制定和实施有效的治疗方案可以提高护理质量,扩大对所有患者的覆盖面。此外,在教育机构中开展足病培训可以弥补这一差距,确保为这些患者提供最佳护理。
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