清创术(牙科)
医学
糖尿病足
外科
坏死组织
糖尿病
糖尿病足溃疡
截肢
内分泌学
作者
David Dayya,Owen O'Neill,Tania B. Huedo‐Medina,Nusrat Habib,J. Moore,Kartik K. Iyer
出处
期刊:Advances in wound care
[Mary Ann Liebert]
日期:2022-12-01
卷期号:11 (12): 666-686
被引量:28
标识
DOI:10.1089/wound.2021.0016
摘要
Diabetic foot ulcerations have devastating complications, including amputations, poor quality of life, and life-threatening infections. Diabetic wounds can be protracted, take significant time to heal, and can recur after healing. They are costly consuming health care resources. These consequences have serious public health and clinical implications. Debridement is often used as a standard of care. Debridement consists of both nonmechanical (autolytic, enzymatic) and mechanical methods (sharp/surgical, wet to dry debridement, aqueous high-pressure lavage, ultrasound, and biosurgery/maggot debridement therapy). It is used to remove nonviable tissue, to facilitate wound healing, and help prevent these serious outcomes. What are the various forms and rationale behind debridement? This article comprehensively reviews cutting-edge methods and the science behind debridement and diabetic foot ulcers.
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