TREATMENT OF INGROWN NAIL –NAIL PLATE RESECTION OF INCARNATION, COMPLICATED BY EPONYCHEAL HYPERGRANULATIONS: AUTHORS ' VIEWS

Complicated incarnation of the nail and bilateral onychocroptosis should be considered as a combined recurrent pathological process, in which chronic abnormal compression of the nail plate of the paraungual (eponycheal) tissue and the development of chronic purulent inflammation are present. We have improved and implemented the original complex surgical treatment of ingrown nail with one and two-way incarnation complicated by eponycheal hypergranulation, the method of elimination with the use of block-like eponectomy, pedicure podologycal instruments and optimized implementation of partial matrixectomy. The effectiveness of our proposed method is determined by the surgical access with eponychectomy; bilateral ingrowth - with the formation of the Canavel's flap and an adequate marginal revision of altered nail sections, a visual control of low-traumatic other stages of surgical treatment with with the use of pododical podiatric pushovers and raspator, full implementation of the partial marginal matrixectomy, which determines the decrease in the relapses cases, χ2 = 28.17, p <0.01, 3.25% respectively in the main and 6.42% in the control group. Positive clinical outcomes are the basic criteria for the possibility of introducing into clinical practice.