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Debridement
photos: Riepe, Bültemann
 sharp spoon or curette |
 incision by skalpell |
 incision by skalpell |
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The cleaning of wounds is called debridement. Historically the term originates from the french maître barbier chirurgien Ambroise Paré (1510-1590). The goal of debridement is the removal of slough and necrosis, a reduction of bacteria, exposure of vital cells and their receptors, allowing the assessment of the wound. In the following different techniques of debridement are listed: - surgical / sharp (skalpell, sharp spoon, curette) and anaesthesia - instrumental (e.g. low frequency ultrasound (LFU), waterskalpell) - biologcal by larvae - mechanical (e.g. forceps, wet gauze, microfibre cloth, showering with filter) - autolytic / enzymatic, solution of slough by hydrogel - by the dressing (e.g. uptake of exudation by foam) Pain control is partially possible by Emla®-Creme after application unter foil for at least 20 min.
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