Abstract
The principles of modern chronic wound care are based on two assumptions: firstly that a moist wound environment is necessary for wound healing to occur and secondly that debris, necrotic tissue and eschar are barriers to wound healing. The use of debridement, that is the removal of necrotic tissue from the wounds, is largely based on expert opinion rather than on evidence derived from randomised controlled clinical trials.
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References
Thomas AM, Harding KG, Moore K (1999) The structure and composition of chronic wound eschar. J Wound Care 8: 285–287
Baharestani M (1999) The clinical relevance of debridement. In: Baharestani M et al. (eds) The clinical relevance of debridement. Springer, Berlin Heidelberg New York Tokyo
Himel H (1995) Wound healing: focus on the chronic wound. Wounds. 7 [Suppl A]: 70A–77A
Vowden KR, Vowden P (1999) Wound debridement. Part 1: Non-sharp techniques. J Wound Care 8: 237–240
Vowden KR, Vowden P (1999) Wound debridement. Part 2: Sharp techniques. J Wound Care 8: 291–294
Vowden P, Vowden K (2002) Wound bed preparation (WBP). World Wide Wounds
Cutting KF, White RJ (2002) Maceration of the skin and wound bed. 1: Its nature and causes. J Wound Care 11: 275–278
Nielsen A (1999) Management of wound exudate. J Community Nurs 13: 27–34
Stewart J (2002) Next generation products for wound management. World Wide Wounds
Foster L, Moore P (1997) The application of a cellulose-based fibre dressing in surgical wounds. J Wound Care 6: 469–473
Robinson BJ (2000) The use of a hydrofibre dressing in wound management. J Wound Care 9: 32–34
Lisle J (2002) Debridement of necrotic tissue and eschar using a capillary dressing and semi-permeable film dressing. Br J Community Nurs 7: 29–30, 32, 34
Deeth M (2002) Review of an independent audit into the clinical efficacy of VACUTEX. Br J Nurs 11 [Suppl 12]: S60,S62–66
Iodine and Wound Physiology (1995) A symposium. 5th Annual Meeting of the European Tissue Repair Society. European Tissue Repair Society, Padua, Italy
Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W (1997) Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 38: 553–562
Thomas S, Andrews A (1999) The effects of hydrogel dressings on maggot development. J Wound Care 8: 75–77
Bradley M, Cullum N, Sheldon T (1999) The debridement of chronic wounds: a systematic review. Health Technol Assess 3: iii–iv, 1–78
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Vowden, P. (2004). Autolytic Debridement. In: Téot, L., Banwell, P.E., Ziegler, U.E. (eds) Surgery in Wounds. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59307-9_8
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DOI: https://doi.org/10.1007/978-3-642-59307-9_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63929-6
Online ISBN: 978-3-642-59307-9
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