What are the items needed for debridement

summary

Last time, because of an accident, I was seriously injured, so I had a debridement. At that time, I didn't know that the wound was serious enough for debridement, so I didn't have any preparation. At the beginning of debridement, I was in a hurry. In order to avoid unnecessary trouble, let's talk about the items needed for debridement.

What are the items needed for debridement

First: clean the skin: cover the wound with sterile gauze, and then wipe the oil stains around the wound with gasoline or ether. The operator washed his hands and wore gloves according to the routine method, changed the gauze covering the wound, washed the skin with a soft hair brush dipped in disinfectant soap, and rinsed it with cold boiled water. Then change another brush to brush again and dry the skin with sterile gauze. Brush twice for about 10 minutes.

Second, for deep wounds, the inactivated fascia and muscle should be completely removed (if the muscle section does not bleed, or if the forceps do not contract, it means necrosis), but the active muscle should not be removed, so as not to affect the function. In order to deal with the deep wound, sometimes it is necessary to enlarge the wound and cut the fascia properly to clean the wound until the tissue with good blood circulation is relatively clean and exposed.

Third: repair the wound and wash the wound with normal saline again after debridement. According to the degree of pollution, the size and depth of the wound and other specific circumstances, we can decide whether the wound is open or closed, whether it is a primary or delayed suture. For large and deep wounds, drainage strips should be placed during primary suture; for wounds with heavy pollution or special parts that cannot be thoroughly debridement, the suture should be postponed, that is, vaseline gauze strips should be placed in the wound for drainage before debridement, and then sutured after 4-7 days, if the wound tissue is ruddy, without infection or edema.

matters needing attention

Debridement is an operation with high requirements for the health environment, so we should go to a relatively regular large hospital to avoid serious wound infection. Debridement will have pain when it is in progress, but it doesn't matter. We don't have to worry about it.