Debridement

 

Removal of necrotic tissue is necessary for proper wound healing for a variety of reasons.  Necrotic tissue is a harbinger of bacteria, and it promotes continued degradation of the surrounding tissue.  In addition, it is important to remove the necrotic tissue to be able to determine the extent of damage in the wound and to appropriately stage the wound.  It will decrease the potential for infection.  In the setting of a large ulcerative wound, advancing cellulitis, bacteremia or sepsis, prompt surgical debridement of devitalized tissue in the ulcer is essential.

 

Types of Debridement: