8 doctors weighed in:
What is involved in debridement of pressure ulcers, decubitus?
8 doctors weighed in

Dr. Barry Press
Surgery - Plastics
5 doctors agree
In brief: A cleanout and...
Often pressure sores are bottle shaped, with a small skin opening overlying a larger cavity that may extend to an underlying pressure point.
This causes dead tissue to build up in the cavity, which is an excellent growing medium for bacteria. Debridement is removal of dead tissue and debris and enlargement of the skin opening: this allows easier cleaning and/or flap closure when the wound is clean.

In brief: A cleanout and...
Often pressure sores are bottle shaped, with a small skin opening overlying a larger cavity that may extend to an underlying pressure point.
This causes dead tissue to build up in the cavity, which is an excellent growing medium for bacteria. Debridement is removal of dead tissue and debris and enlargement of the skin opening: this allows easier cleaning and/or flap closure when the wound is clean.
Dr. Barry Press
Dr. Barry Press
Thank
2 comments
Dr. Sharon Ann Clark
Sometimes the bone at the bottom of the wound needs to be debrided as well as cultured to assess the antibiotic of choice as well as the duration of treatment. Whenbone is involved, it is crucial to bring in blood rich tissue such as a muscle flap. The antibiotic can then reach the area deepest in the wound which needs to heal from the anatomic "bottom" up to minimize recurrence of breakdown.
Dr. Sharon Ann Clark
Sometimes the bone at the bottom of the wound needs to be debrided as well as cultured to assess the antibiotic of choice as well as the duration of treatment. Whenbone is involved, it is crucial to bring in blood rich tissue such as a muscle flap. The antibiotic can then reach the area deepest in the wound which needs to heal from the anatomic "bottom" up to minimize recurrence of breakdown.
Dr. David Hardin
Wound care
In brief: Get the dead out
Debridement is a term regarding removal of dead and necrotic tissue from a wound as well as tissue above.
The object being to clean and expose viable tissue to begin the healing process. This can be accomplished by several methods, sharp instruments, enzymes, 'autolytic' allowing the body's own enzymes to do it and more recently the use of maggots.

In brief: Get the dead out
Debridement is a term regarding removal of dead and necrotic tissue from a wound as well as tissue above.
The object being to clean and expose viable tissue to begin the healing process. This can be accomplished by several methods, sharp instruments, enzymes, 'autolytic' allowing the body's own enzymes to do it and more recently the use of maggots.
Dr. David Hardin
Dr. David Hardin
Thank
Dr. Scott Bolhack
Wound care
In brief: Debridement
Debridement is a term that wound specialist use to describe the action of removing contents from the inside of the wound.
There are many categories of debridement. For example, chemical debridements are the application of a surface product that chemically breaksdown the components on the surface of a wound. Surgical debridement is the use of sharp instruments to remove and enlarge a wound.

In brief: Debridement
Debridement is a term that wound specialist use to describe the action of removing contents from the inside of the wound.
There are many categories of debridement. For example, chemical debridements are the application of a surface product that chemically breaksdown the components on the surface of a wound. Surgical debridement is the use of sharp instruments to remove and enlarge a wound.
Dr. Scott Bolhack
Dr. Scott Bolhack
Thank
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