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How is Wound Debridement Done?

In this article, we have compiled the answers to the questions of how wound debridement is performed and why wound debridement is important.

Wound debridement is the procedures performed for rapid healing of wounds. Performing these procedures regularly is extremely important for wound healing.

Wound debridement treatment is applied with different methods depending on the location and depth of the patient's wound. For this reason, before starting the debridement procedure, the most appropriate method for the patient is determined. Over time, different methods can be used depending on the healing status of the wound.

What are the Debridement Types?

Types of debridement treatment are examined under 5 headings. We can list these titles as follows:

• Mechanical

• Surgical

• Otolithic

• Biological

• Enzymatic

Mechanical Debridement

It is the process of cleaning the wound by using dry and wet gas dressing materials. There are two different ways of this process, direct and indirect.

Hydrosurgical intervention is directly dependent on the technique of washing with water. Direct intervention takes place by applying it directly on the wound. In this way, hydrosurgery is performed quickly and powerfully in order to provide more energy to the tissues.

Foreign bodies on the wound can be easily cleaned using modern devices.

Another method is ultrasound therapy. It is done directly on the wound. Ultrasound devices, which enable changes in cells and tissues, occur by transmitting proteins and mechanical energy to the wound.

Surgical Debridement

This method is known as the most aggressive method because of the use of materials such as scissors, scalpel and curette.

It is especially applied in the treatment of diabetic foot wounds. It is the most suitable method for cleaning hard, adherent and thick tissues.

This method should be performed by specialist surgeons. It is ensured that excesses such as scars, nails and calluses are cleaned.

Biological Debridement

In this method, it is aimed to clean the larvae formed on the wound. Maggot is also called a larva, maggot or maggot treatment. This method ensures that the wound area is completely cleaned.

Enzymatic Debridement

The enzymatic debridement method is performed by the topical application of chemical agents on the wound. Thanks to this method, neurotic tissues are destroyed and the wound is purified from tissue remnants.

Otolithic Debridement

This method is the process of self-purification of dead tissues in the wound bed. Since it is a natural process, slower recovery is observed compared to other methods.

Proteolytic enzymes clean the wound bed with harmful dead cells. This is how the process happens. This method has no side effects and is quite easy.

Why is Wound Debridement and Dressing Important?

Wound debridement, which provides rapid healing of the wound, has many importance for both the patient and the wound. We can list the main ones as follows:

• It prevents the masking of the infection.

• Abscesses are drained.

• Prevents excessive matrix metalloproteinase growth.

• The pressure applied to the nerve and muscle tissue is removed and the pressure is reduced.

• It prevents the formation of new vessels.

• It cleans the physical barriers that prevent the healing of the wound, that is, the tissues.

• It prevents the wound surface from being covered with a cell layer cover.

If you are satisfied with our article 'How to do wound debridement?', you can take a look at our other articles.