Debridement Patient

What is a Surgical Debridement?

  • Overtime wounds can build up bacteria and dead cells/tissue over the wound bed. This bacteria and dead tissue will prevent your wound from healing.
  • Surgical Debridement is when the surgeon “cleans” and removes the bacteria and dead tissue with a scalpel/medical instrument from the wound bed.
  • The surgeon can “clean” the wound bed more extensively and in the “cleanest” way possible in the operating room.

What is the Benefit?

  • Surgical debridement is proven to be the most effective way to clean a wound.
  • Will decrease healing time/Promote wound edges to close in.
  • Decrease risk for further infection.

What to Expect

  • This will be an “outpatient procedure” this means you will most likely leave the hospital the same day.
  • You will leave the hospital with a dressing in place.
  • You may have a dressing in place called a wound vac (negative pressure wound therapy). A wound vac is a small medical device that removes wound drainage by pulling drainage through a small flexible tube into a small canister. A wound vac can promote wound healing.

After Care Instructions

  • Do not remove your dressing until instructed. 
  • Plan to rest for one week after surgery.
  • Take your medications as prescribed.
  • Keep your dressing and/or wound vac CLEAN, DRY, and INTACT.
  • Do not shower until approved by your surgeon. You may take a sponge bath and avoid your dressings getting wet.
  • Your first dressing change will be done by your surgeon in the outpatient wound clinic

When to call your Surgeon

  • If you have heavy bleeding that saturates the dressing, hold pressure over the dressing for 10 minutes and call your surgeon. If the bleeding does not stop, go to ER.
  • If you have any signs of infection such as the following call your surgeon:
    * fever
    *chills,
    *severe pain at site
    *visible bright redness outside of dressing edges and/or hot to the touch

What is a skin substitute?

  • A skin substitute is made from natural and/or synthetic properties that create a “skin like” covering to help heal your wound.
  • Skin substitutes are made from a variety of sources:
    • Those made from another person or cadaver are called allografts.
    • Those made from other species are called xenografts. 
    • Some are made from human placenta and human intestinal layers.
  • Your surgeon will decide what type of skin substitute is best for you.