What is Surgical Nail Matrixectomy and Nail Plate Biopsy?

Nail matrixectomy or biopsy involves removing or destroying the nail matrix to prevent abnormal regrowth or obtain tissue for diagnosis. Performed under local anesthesia, the nail plate is partially lifted to expose and ablate the matrix surgically, chemically, or electrically. During these surgeries, even minimal trauma can trigger significant bleeding from the vascular nail bed obscuring visibility and delaying healing.

What Are the Surgical Challenges in These Procedures?

What Are the Advantages of Using SURGISPON^® Sterile Resorbable Haemostatic Sponge?

Why Is SURGISPON^® a Preferred Choice Among Surgeons for Nail Surgery?

Fig 1: SURGISPON^® Sterile Resorbable Haemostatic Sponge

In What Forms Is SURGISPON^® Available?

SURGISPON^® is available in 30+ sizes to suit diverse surgical needs:

• Haemostatic Sponge: Regular, Cubes, and Special formats

Clinical Relevance and conclusion

A randomized controlled trial in 44 patients (74 halluces) with stage I–III onychocryptosis demonstrated that Gelita-Spon Standard ^® effectively reduced postoperative bleeding after partial matrixectomy with phenolization (p < 0.001), proving to be a safe and reliable option for managing surgical bleeding.¹

Fig 2: (A) : Stage II onychocryoptosis in the lateral fold (Left image). Aspect of the hallus after the winograd procedure (Right image). (B): Immediate postoperative aspect (left) and 48 h after (right) application of gelatin sponges¹ 

In summary, SURGISPON^® Sterile Resorbable Haemostatic Sponge supports healing and reduces infection risk in nail matrixectomy and biopsy. Its biocompatibility, absorbability, and ease of use improve patient comfort and recovery. Clinical evidence shows that it is safe, effective, and delivers excellent cosmetic outcomes with high patient satisfaction.

References

1. Córdoba-Fernández A, Lobo-Martín A. Hemostatic Efficacy of Absorbable Gelatin Sponges for Surgical Nail Matrixectomy after Phenolization- A Blinded Randomized Controlled Trial. J Clin Med. 2022 Apr 26;11(9):2420. doi: 10.3390/jcm11092420. PMID: 35566545; PMCID: PMC9099556.
2. Hwa C, Kovich OI, Stein JA. Achieving hemostasis after nail biopsy using absorbable gelatin sponge saturated in aluminum chloride. Dermatologic surgery. 2011 Mar 1;37(3):368-9.
3. Henley J, Brewer JD. Newer hemostatic agents used in the practice of dermatologic surgery. Dermatology research and practice. 2013;2013(1):279289.
4. Bolzon A, Richert B, Cannata GE, Sechi A. Complications in nail surgery and prevention strategies: a comprehensive review. Dermatology Reports. 2025 Feb 4.