Definition of Debridement

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    Types of Debridement

    • There are four types of debridement: surgical, mechanical; enzymatic and autolytic. Clinicians will sometimes use more than one debridement method on a single wound to provide the most effective treatment.

    Surgical

    • Surgical or "sharp" debridement is the use of a sharp implement to cut away dead tissue. It's usually used when there is a lot of tissue to remove; it's also needed when an extensive infection is present.

    Autolytic

    • Autolytic debridement is when the body uses enzymes to break down dead tissue. It can be encouraged by applying moist dressings to the wound.

    Enzymatic

    • Often used to treat chronic wounds, enzymatic debridement is the application of a topical ointment that breaks down the wound's dead tissue.

    Mechanical

    • Sometimes the top layer of a wound--which includes dead tissue--adheres to the wound's dressing. When the dressing is removed, some of the tissue comes with it. This is called mechanical debridement.

    Complications

    • No complications are expected to occur, but debriding a wound can result in infection and blood loss. Debridement, particularly surgical debridement, can also be painful.

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