Surgery. Ce Fi Debridement. Definition. Debridement is the process of removing dead necrotic tissue or foreign. An open wound or ulcer can not be properly evaluated until the dead tissue. Member has received a previous autograft and is not a candidate for further autograft procedures because the tissue is no longer available or. Over many years, the terms sepsis and septicemia have referred to several illdefined clinical conditions present in a patient with bacteremia. Definitions. Definition Debridement is the process of removing dead necrotic tissue or foreign material from and around a wound to expose healthy tissue. Review Article. Current Concepts. Streptococcal Infections of Skin and Soft Tissues. Alan L. Bisno, M. D., and Dennis L. Stevens, M. D., Ph. D. N Engl J Med 1996 334. Glossary of Dental Clinical and Administrative Terms There are many terms used daily by dentists and their staff in the course of delivering care to patients. DebriSoft%20carton%20pack%20shot_NEW.jpg' alt='Soft Tissue Debridement Definition' title='Soft Tissue Debridement Definition' />Wounds that contain necrotic and ischemic. This is because. necrotic tissue provides an ideal growth medium for bacteria, especially. Bacteroides. spp. Clostridium perfringens. Though a wound may not necessarily be infected, the bacteria can cause. Debridement is also used to treat pockets of pus called abscesses. Abscesses can develop into a general infection that may invade the. Burned tissue or tissue exposed to corrosive substances. Eschars. may also require debridement to promote healing. Description. The four major debridement techniques are surgical, mechanical, chemical. Surgical debridement. Surgical debridement also known as sharp debridement uses a scalpel. It is. the quickest and most efficient method of debridement. It is the preferred. The physician. starts by flushing the area with a saline salt water solution, and then. Using forceps to grip the dead tissue, the physician cuts. Sometimes it is necessary. The. physician may repeat the process again at another session. Mechanical debridement. In mechanical debridement, a saline moistened dressing is allowed to dry. When the dressing is removed, the. This process is one of the oldest methods. It can be very painful because the dressing can adhere to. Because mechanical debridement cannot. Chemical debridement. Chemical debridement makes use of certain enzymes and other compounds to. It is more selective than mechanical. In fact, the body makes its own enzyme, collagenase, to break. A pharmaceutical. As with other debridement techniques, the area first is. Any crust of dead tissue is etched in a crosshatched. A topical antibiotic is also. A moist. dressing is then placed over the wound. Autolytic debridement. Autolytic debridement takes advantage of the bodys own ability to. The key to the technique is keeping the wound moist. These dressings. help to trap wound fluid that contains growth factors, enzymes, and immune. Autolytic debridement is more selective. It is inappropriate for wounds that have become infected. Biological debridement. Maggot therapy is a form of biological debridement known since antiquity. The larvae of. Lucilia sericata. The method is rapid and. DiagnosisPreparation. The physician or nurse will begin by assessing the need for debridement. The wound will be examined, frequently by inserting a gloved finger into. The. assessment addresses the following points. Before surgical or mechanical debridement, the area may be flushed with a. If the. antalgic cream is used, it is usually applied over the exposed area some. Aftercare. After surgical debridement, the wound is usually packed with a dry. Afterward, moist dressings are. Moist dressings are also used after. Many factors contribute. Debridement. may need to be repeated. It is possible that underlying tendons, blood vessels or other structures. Surface bacteria may also be introduced deeper into the body. Normal results. Removal of dead tissue from pressure ulcers and other wounds speeds. Although these procedures cause some pain, they are generally. It is not. uncommon to debride a wound again in a subsequent session. Alternatives. Adjunctive therapies include electrotherapy and low laser irradiation. However, at present, insufficient research has been completed to recommend. Not all wounds need debridement. Sometimes it is better to leave a. Before performing debridement, the physician will take a medical. The physician will also note the. Some ulcers and other. In such cases, the physician. Resources. Falanga, V., and K. G. Harding, eds. The Clinical Relevance of. Wound Bed Preparation. New York Springer Verlag, 2. Harper, Michael S. Debridement. Berkeley, CA Paradigm. Press, 2. 00. 1. Maklebust, Jo. Ann and Mary Y. Sieggreen. Pressure Ulcers. Guidelines for Prevention and Nursing Management. Springhouse, PA Springhouse Corporation, 1. Dervin, G. F., I. G. Stiell, K. Rody, and J. Grabowski. Effect. Arthroscopic Debridement for Osteoarthritis of the Knee on. Health Related Quality of Life. The Journal of Bone and Joint Surgery American. A January 2. 00. Friberg, T. R., M. Ohji, J. J. Scherer, and Y. Tano. Frequency. Epithelial Debridement During Diabetic Vitrectomy. American Journal of Ophthalmology. April 2. 00. 3 5. Reynolds, N., N. Cawrse, T. Burge, and J. Kenealy. Debridement. of a Mixed Partial and Full Thickness Burn With an Erbium YAG. Laser. Burns. 2. March 2. Slideshow Gadget For Windows 7 on this page. Schirmer, B. D., A. D. Miller, and M. S. Miller. Single. Operative Debridement for Pancreatic Abscess. Journal of Gastrointestinal Surgery. February 2. 00. 3 2. Terzi, C., A. Bacakoglu, T. Unek, and M. H. Ozkan. Chemical. Necrotizing Fasciitis Due to Household Insecticide Injection Is. Immediate Radical Surgical Debridement Necessary. Human Experimental Toxicology. December 2. 00. 2 6. Wolff, H., and C. Hansson. Larval Therapyan Effective. Method of Ulcer Debridement. Clinical and Experimental Dermatology. March 2. 00. 3 1. American Academy of Wound Management. St. NW, Washington, DC 2. Wound Care Institute. N. E. 1. 63rd Street, Suite 1. North Miami Beach, FL 3. Moses, Scott. Wound Debridement. Family Practice Notebook. February 1. 2, 2. May 1. 5, 2. 00. 3. SUR1. 2. htm. Types of Wound Debridement. Wound Care Information. Network Types of Wound Debridement. May 1. 5, 2. 00. 3. Richard H. Camer Monique Laberge, Ph. D. WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED Debridement is performed by physicians such as plastic surgeons. General physicians and surgeons are all trained in debridement. Nurses. specializing in. Surgical debridement is usually performed on an outpatient basis or at the. If the target tissue is deep or close to another organ, however. QUESTIONS TO ASK THE DOCTOR.