Debridement of Wound Tissue

Debridement, in which a wound physician removes dead, infected or non-healing tissue, as well as scar tissue and calluses, is a key part of the wound healing process. There are various debridement techniquew, but the most effective method, and the one typically used by Dr. Brem, involves surgical debridement with a scalpel.

Debridement accelerates the healing process by eliminating tissue that is hindering the healing process, and by stimulating the release of growth factors at the wound's edge of the wound. Once the non-healing tissue is removed, antibiotics are administered to the wound site as needed along with regenerative medications to stimulate the growth of healthy new tissue.During each procedure, Dr. Brem's team also conducts a cellular analysis of the tissue being debrided to determine exactly how much tissue to remove. This enables us to maximize the benefits of each procedure, reducing the total number of debridements needed.

With some patients, a single debridement procedure is enough to promote complete healing of the wound. With other patients, multiple debridements may be needed. Debridement is generally done on an outpatient basis and takes an hour or less. In some cases, regional anesthesia can be used during debridement in place of general anesthesia—an approach Dr. Brem has helped pioneer.

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