Abstract
The nail unit is a highly vascularized structure. Bleeding after nail surgery can be profuse, which may increase the risk of postoperative infection and delay wound healing. The efficacy of hemostatic agents, such as electrocautery, aluminum chloride, ferric subsulfate, kaolin-impregnated gauze, and hydrophilic polymers with potassium salts, varies and some can induce artifacts in histologic sections, potentially complicating future histologic examination. Brimonidine, an alpha-2 agonist, is effective for hemostasis following nail surgery, but is not easily accessible and must be avoided in patients with neurologic or cardiac diseases.
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