Debridement of a Wound, Infection, or Burn
|Surgical Debridement of Lower Leg Wound|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Delayed healing
- Removal of healthy tissue with mechanical debridement
What to Expect
Prior to Procedure
- Physical exam
- Take a measurement of the wound
- Provide pain medicine before changing debridement dressings (for nonsurgical procedures)
Description of Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Follow your doctor's directions for wound care. If you are unsure about any aspect or unable to manage your care, discuss your concerns with your doctor.
- Keep the wound and dressings clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take medicines as ordered. Do not stop medicines early, even if the wound starts to look better.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the wound site
- Chalky white, blue, or black appearance to tissue around wound
- If general anesthesia was used—cough, shortness of breath, chest pain, or severe nausea and/or vomiting
- Pain that you cannot control with the medicines you have been given
Visiting Nurse Associations of America http://vnaa.org
Wound Ostomy and Continence Nurses Society http://www.wocn.org
Canadian Association of Wound Care http://www.cawc.net
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html
Debridement. Visiting Nurse Associations of America website. Available at: http://vnaa.org. Accessed October 20, 2005.
Golinko MS. Operative debridement of diabetic foot ulcers. J Am Coll Surg . 2008;207 (e1-6).
Nigam Y, Bexfield A, Thomas S, Ratcliffe NA. Maggot therapy: the science and implication for CAM part I-history and bacterial resistance. Evid Based Complement Alternat Med . 2006;3:223-227.
Rakel RE, Bope ET. Conn's Current Therapy 2009 . 1st ed. Philadelphia, PA: WB Saunders Company; 2008.
Roberts JR. Clinical Procedures in Emergency Medicine . 3rd ed. Philadelphia, PA: WB Saunders Co; 1998.
Spires MC. Frontera: Essentials of Physical Medicine and Rehabilitation . Philadelphia, PA: Hanley and Belfus; 2002: chap 96.
Steed DL. Debridement. American Journal of Surgery . 2004;187(suppl 1).
Wong CH. Approach to debridement in necrotizing fasciitis. American Journal of Surgery . 2008; 196 (e19-24).
- Reviewer: Marcin Chwistek, MD
- Review Date: 12/2013 -
- Update Date: 01/15/2014 -