特殊な創傷のデブリードマン(1) : 褥瘡のデブリードマン

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Other Title
  • トクシュ ナ ソウショウ ノ デブリードマン(1)ジョクソウ ノ デブリードマン
  • Debridement in Patients with Pressure Ulcers

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Abstract

Debridement is a topical treatment for pressure ulcers based on wound bed preparation. and wound healing is triggered only after removal of the necrotic tissue. There are three types of debridement: surgical, mechanical. and autolytic. Surgical debridement is invasive; however, it promotes the wound healing process. It is mainly performed in hospitals. Autolytic debridement is performed in situations wherein it is not possible to cope with bleeding, such as in homecare settings. Although less invasive, removal of necrotic tissue by autolytic debridement takes a substantial amount of time. Mechanical debridement is performed by physically removing small areas of necrotic tissue from the granulation surface using negative-pressure wound therapy, curettes, or the wet-to-dry technique.

Journal

  • 形成外科

    形成外科 61 (6), 676-684, 2018-06

    克誠堂出版

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