Wound debridement is the process of cleaning the dead tissue formed on the open wound. Thanks to debridement, the wounds heal quickly and the formation of infection or bacteria on the wound is prevented.
All types of tissue residues such as necrotic material, scabs, infected tissues, hyperkeratosis, abscess material, foreign bodies, debris, bone fragments are cleaned to allow the wound to heal.
What Are the Benefits of Wound Debridement Therapy?
Debridement therapy, which provides rapid wound healing, has many benefits. We can list these benefits as follows:
• It prevents the formation of new vessels.
• It prevents the masking of the infection.
• It prevents the emergence of a septic problem.
• The pressure applied to the nerve and muscle tissue is removed and the pressure is reduced.
• Prevents excessive matrix metalloproteinase growth.
• It prevents the formation of matrix structure for the normal cell.
• It prevents the formation of reabsorbed tissue loss.
• Medicinal materials used in local treatment increase the effect.
• It prevents the formation of bacteria.
• Abscesses are drained.
• It prevents the reproduction of inflammatory cytokines.
• It prevents the wound surface from being covered with a cell layer cover.
In Which Wound Types Is Debridement Applied?
Debridement treatment is usually performed to accelerate the healing process of deep wounds seen in older people. Frequent and regular debridement is required to accelerate the healing process.
There are 32 types of wounds suitable for debridement. The main ones among these wounds are:
• Skin graft
• Arterial ulcer
• Pressure sore
• Trauma
• Inflammatory ulcer
• Venous ulcer
• Secondary to infection
• Foot ulcers seen in diabetic patients
• Surgical wounds
• Skin flap
• Foot, hand, face and genital area wounds
• Plaque formation in the leg artery
• Wounds of unknown cause
• Wounds of unconscious patients who cannot give consent
• Wound types without tissue formation
• Wound types with suspected tumor
• Wounds close to tendons, nerves and vessels
• Wounds in people with blood clotting difficulties
• Wounds with vascular inflammation
What Happens If Debridement Treatment Is Not Performed?
If the debridement treatment for rapid healing of the wound is not performed, the following adverse events occur:
• Debris and dead tissues in the wound create a physical barrier to healing. It prevents the formation of normal extracellular matrix, granulation and closure of the wound surface with the epidermal cover.
• May mimic or mask infection.
• It prevents the real extent of tissue damage from being seen in diabetic foot wounds and pressure sores and the correct evaluation of the wound.
• It causes excessive odor and exudate production.
• It reduces the effects of tropical preparations such as pain relievers and antimicrobials.
For this reason, care should be taken to perform wound debridement on a regular basis
