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Chinese Journal of Injury Repair and Wound Healing(Electronic Edition) ›› 2018, Vol. 13 ›› Issue (05): 378-382. doi: 10.3877/cma.j.issn.1673-9450.2018.05.012

Special Issue:

• Review • Previous Articles     Next Articles

Progress in clinical application of precise debridement

Yang Xu1, Tong Liu2, Xingfeng Zheng2, Zhaofan Xia2,()   

  1. 1. College of Basic Medicine, Naval Medical University, Shanghai 200433, China
    2. Burns and Trauma Center, First Affiliated Hospital, Naval Medical University, Shanghai 200433, China
  • Received:2018-07-22 Online:2018-10-01 Published:2018-10-01
  • Contact: Zhaofan Xia
  • About author:
    Corresponding author: Xia Zhaofan, Email:

Abstract:

Debridement is the basic and key step of wound treatment. The basic point is to removes necrotic tissues and contaminated foreign matter completely, and promotes wound healing. According to different treatment methods, debridement can be divided into surgical debridement, mechanical debridement, autolysis debridement, enzymatic debridement, biological debridement etc. All of these debridement methods have advantages and shortcomings in clinical application. Recent years, a number of new debridement techniques have emerged, such as hydrodynamic debridement and low-temperature plasma radiofrequency ablation debridement, which make up for the deficiency of traditional debridement methods. These new methods can remove contaminated or necrotic tissue accurately, and minimize damage to the surrounding normal tissues. The concept of precise debridement has been developed to target the removal of necrotic and unhealthy tissues, to maximize the retention of normal tissue, and to alleviate pain during debridement. This article reviews the current clinical debridement methods and the new techniques which can achieve accurate debridement.

Key words: Debridement, Wound healing, Research, Precise

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