Debridement & Amputation

DEBRIDEMENT Debridement is the process of removing

dead (necrotic) tissue or foreign material from and around a wound to expose healthy tissue. used to treat pockets of pus called abscesses.

Properly eveluation

Ulcer/necrotic tissue : Healing Infection Inflammation & strain

Techniques…..

The four major debridement techniques are: surgical, mechanical, chemical, autolytic.

Surgical deb.,,,,

“sharp deb” Quickest & most efficient methode Cellulitis and sepsis Methode:

starts by flushing the area with a saline solution

applies a topical anesthetic or antalgic gel to the edges of the wound

Using forceps to grip the dead tissue, cuts it away bit by bit with a scalpel or scissors.

Mechanical deb….

 a saline-moistened dressing is allowed to dry overnight and adhere to the dead tissue

an unacceptable debridement Very painfull

Chemical deb,,,

 use of certain enzymes and other compounds to dissolve necrotic tissue. first is flushed with saline. Any crust of

dead tissue is etched in a crosshatched pattern to allow the enzyme to penetrate. A topical antibiotic is also applied to prevent introducing infection into the bloodstream. A moist dressing is then placed over the wound.

Autolytic deb.,,,

keeping the wound moist more selective but takes the longest

to work

Preparation.,,,,,

Before surgical or mechanical debridement, the area may be flushed with a saline solution, and an antalgic cream or injection may be applied. If the antalgic cream is used, it is usually applied over the exposed area some 90 minutes before the procedure.

Amputation….

Definition.,,,,

Amputation is the surgical removal of a limb or body part.

Prevalent….

hardening of the arteries arterial embolism impaired circulation as a

complication of diabetes mellitus gangrene severe frostbite Raynaud's disease Buerger's disease

It can be planned or emergency procedure.

The goal of the surgeon is to find the place where healing is most likely to be complete, while allowing the maximum amount of limb to remain for effective rehabilitation.

After amputation, medication is prescribed for pain, and patients are treated with antibiotic to discourage infection.

physical therapy and rehabilitation are started as soon as possible, usually within 48 hours

Complication,,,

the administration of anesthesia exist

Failure of the stump to heal  Persistent pain in the stump or pain

in the phantom limb Give up rehabilitation.

Thanks…..