Wound Debridement Procedure | Unbelievable Ways Doctors Treat Wounds!

Debridement is a medical procedure in which wounds on the body are treated. In this procedure, the dead or infected skin cells and debris are removed from the wound site. Debridement is mostly performed for wounds that are deteriorating over time or are infected. It is also performed for the treatment of diabetic foot ulcers. Diabetic foot is a condition in which the nerves and arteries in the feet of diabetes patients are damaged, leading to numbness. Due to numbness, patients with diabetic foot do not feel pain when they get injured, and the wounds worsen. Therefore, timely treatment of diabetic foot is crucial, and debridement is performed for this purpose.

Now let's understand how the debridement procedure is performed. Debridement is mostly performed surgically, where the wound is first thoroughly disinfected and then the top skin layer and infected tissues are surgically removed using a knife. The wound site is then washed. Apart from surgery, debridement can also be performed through Autolytic, Mechanical, Enzymatic, and Biological methods, such as Maggot therapy.

Let's now explore these procedures in detail:

Autolytic Debridement: In this procedure, moisturizers like transparent films, hydrocolloids, or hydrogels are used on the wound site. These moisturizers soften the wound, making it easier for our immune cells and enzymes to treat it.

Enzymatic Debridement: Chemical ointments containing enzymes derived from bacteria, animals, or plants are used in this procedure. These enzymes moisturize the wound, promoting the rapid growth of healthy tissues. This procedure is effective for wound healing and controlling bleeding.

Mechanical Debridement: Mechanical debridement is the most commonly used procedure. It involves treating the wound through pressure. This procedure can be performed in three different ways: hydrotherapy, wet-to-dry dressing, and monofilament debridement pads. In hydrotherapy, fast-running water, such as shower water, is applied to the wound. Wet-to-dry dressing involves the use of wet gauze on the wound. Monofilament debridement pads use soft polyester pads on the wound.

Biological Debridement: In this procedure, larvae of the Lucilia sericata species, commonly known as maggots, are used. This is why it is also called larval or maggot debridement therapy. Maggots have the ability to feed on old tissues and harmful bacteria, while also releasing antibacterial substances. That's why this procedure is highly effective for the treatment of infected wounds.

Benefits of debridement include preventing infection and deterioration of wounds, as well as promoting the growth of healthy tissue.

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