Official websites use. Share sensitive information only on official, secure websites. It is an inseparable element of wound healing therapy. There are many debridement techniques approved by the European Wound Management Association.
In our work we present not only a systematic review of most of the debridement techniques used nowadays, but also our clinical cases showing results of those different techniques.
Wound cleansing is an inseparable element of wound healing therapy. It stands for removal of necrotic material, scabs, devitalized tissues, dried serous fluid, infected tissues, biofilm, stratified epidermis, pus, hematomas, foreign bodies, bone fragments and other impurities whose presence delays wound healing.
Some methods of tissue cleansing can only be applied in specialized hospital wards with ultrasonic wound cleaning devices. Consideration should be given to pain in the area of ulceration, the possibility of effective anaesthesia, the cost of the method, the environmental conditions in which the procedure is performed, having the appropriate authorization to perform the cleansing procedure, and guidelines on recommended debridement techniques.
The wound cleaning techniques used in outpatients include: 1—2 — monofilament cloths, 3—4 — sterile sponges, 5—6 — dressings made of poly-absorbent fibre, 7—9 — alginate dressings, 10 — collagenase ointment. Mechanical debridement is a debridement method that uses physical strength to remove necrotic tissue. These techniques are most often used for initial tissue cleansing preceding other debridement methods. The biggest problem with mechanical debridement techniques is that they are nonselective and both viable and non-viable tissues can be removed [ 3 ].
