Phenolisation technique:

1. Apply digital tourniquet:

2. Split nail with English Nail Splitter to level of eponychium:

3. Split proximal nail plate with #61 chisel-tip blade:

4. Free nail plate from nail bed with chisel:

5. Grasp entire nail section with haemostat:

6. Remove nail section – rotate towards midline of nail and gently pull nail free:

7. Dry nail sulcus before application of phenol:

8. Remove excess phenol from applicators:

9. Apply phenol – rotate towards midline of nail:

10. Apply for 60 seconds (by convention 3 x 20 secs):

11. Remove excess phenol from wound with alcohol-wipe & remove tourniquet:

12. Immediately post-op appearance:

13. Dress with Betadine^TM ung, sterile gauze and Micropore^TM tape:

14. Apply dressing:

Phenol aftercare:

• Normal shoes
• Showers OK
• After 12-24 hrs remove the bandage and place toe under running water for 1-2 minutes, 1-2 times a day for the next 7 days.
• Squeeze the toe for any excess drainage and dry well with sterile gauze.
• Apply bactigras gauze dressing and secure with paper tape /cutiplast after each soak. Alternatively, you can apply betadine ointment and cutiplast after each soak.
• If you see more redness, pus drainage please call the office 9258 4152.