Journal of the American Academy of Dermatology · 2026
Perioperative management in nail surgery: An international Delphi consensus statement.
Consensus StatementСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sechi Andrea, Valtellini Luca, Billick Kendall, Cannata Giuseppe Emilio, Di Chiacchio Nilton Gioia, Grover Chander, Haneke Eckart, Jellinek Nathaniel, Jiménez-Cahué Juan, Laheru Dhruvkumar, Lipner Shari R, Trakatelli Myrto, Richert Bertrand
Аннотация
BACKGROUND: Nail surgery is a cornerstone in the diagnostic and therapeutic management of nail disorders, yet perioperative practices vary widely because of limited comparative evidence and the absence of comprehensive guidelines.
OBJECTIVE: To develop an international expert consensus providing practical recommendations for perioperative management before, during, and after nail surgery.
METHODS: A literature review on nail surgery techniques, perioperative management, complications, and postoperative care was performed. Key clinical topics were identified and addressed through a Delphi process involving 10 dermatologists with expertise in nail surgery from multiple countries. Consensus was predefined as ≥70% agreement or disagreement on a 5-point Likert scale across 3 rounds.
RESULTS: Panelists evaluated 260 Likert-scale items derived from 50 open-ended questions. Consensus was achieved across domains, including antibiotic prophylaxis, bleeding risk management, anesthesia techniques, antisepsis, tourniquet use, postoperative analgesia, dressings, wound healing, follow-up strategies, and prevention of long-term complications such as nail dystrophy and functional impairment. Selected items remained without consensus, identifying areas requiring further research.
LIMITATIONS: Recommendations are based on expert opinion in areas with limited high-quality comparative evidence.
CONCLUSIONS: This international Delphi consensus provides guidance to support safer and standardized nail surgery and may help reduce practice variability pending stronger prospective evidence.
OBJECTIVE: To develop an international expert consensus providing practical recommendations for perioperative management before, during, and after nail surgery.
METHODS: A literature review on nail surgery techniques, perioperative management, complications, and postoperative care was performed. Key clinical topics were identified and addressed through a Delphi process involving 10 dermatologists with expertise in nail surgery from multiple countries. Consensus was predefined as ≥70% agreement or disagreement on a 5-point Likert scale across 3 rounds.
RESULTS: Panelists evaluated 260 Likert-scale items derived from 50 open-ended questions. Consensus was achieved across domains, including antibiotic prophylaxis, bleeding risk management, anesthesia techniques, antisepsis, tourniquet use, postoperative analgesia, dressings, wound healing, follow-up strategies, and prevention of long-term complications such as nail dystrophy and functional impairment. Selected items remained without consensus, identifying areas requiring further research.
LIMITATIONS: Recommendations are based on expert opinion in areas with limited high-quality comparative evidence.
CONCLUSIONS: This international Delphi consensus provides guidance to support safer and standardized nail surgery and may help reduce practice variability pending stronger prospective evidence.