Encompass Healthcare and Wound Medicine

Advanced Wound Debridement

Wound Debridement is available at Encompass HealthCare and Wound Medicine in West Bloomfield, Michigan in our outpatient office so that you don’t have to go to the hospital.

Our outpatient facility, located on the border of West Bloomfield, Walled Lake and Commerce township, is just minutes from Farmington, Farmington Hills, Bloomfield Hills, Birmingham, Troy, Southfield, Berkley, Brighton and Detroit and we treat patients from all over the country including the Michigan counties of Macomb, Wayne, Oakland, Jackson, Lenawee, Livingston, Monroe, Sanilac, St. Clair, Washtenaw and more.

This video is graphic, viewer discretion is advised.

 

Dr. Bruce E. Ruben Performs Wound Debridement on a Patient in West Bloomfield

Dr. Bruce E. Ruben Performs Wound Debridement on a Patient in West Bloomfield

Wound Debridement:

  • Clears away dead or necrotic tissues that can inhibit healing
  • Creates a fresh wound bed to promote healing
  • Re-starts the healing process
  • There are several types of wound debridement modalities including surgical, ultrasonicautolytic, enzymatic, mechanical and maggot.

Surgical Debridement:

This is the process of removing damaged or dying tissue surgically. In this case, a surgeon visually inspects the tissue, determines what tissue is viable, and removes the tissue that is not salvageable.

Ultrasonic Wound Debridement:

Ultrasonic debridement is fast, safe and effective, utilizing ultrasonic sound waves to break up and remove dead, necrotic tissue from a wound bed without damaging healthy surrounding tissue. For more detailed information on ultrasonic debridement, click HERE.

Ultrasonic debridement is performed by Dr. Bruce Ruben at Encompass HealthCare & Wound MedicineUltrasonic debridement is performed by Dr. Bruce Ruben at Encompass HealthCare & Wound Medicine

Advantages of ultrasonic assisted wound treatment (UAW): selective mode of action and efficient debridement

Autolytic Debridement:

This is the body’s own process of getting rid of dead tissue and keeping healthy tissue. This process may be assisted by a dressing or wound care. For more detailed information on autolytic debridement, click HERE.

Enzymatic Debridement:

This type of debridement uses enzyme solutions or ointments to treat the tissue. Typically, the solution or ointment is combined with a dressing that is changed regularly. Enzymatic wound debridement involves the application of collagenase, an enzyme that can selectively digest only the collagen in wounds that holds necrotic tissue to the wound bed. This method of wound debridement is not used in place of surgical or sharp debridement, but rather as an adjunct therapy to treat residual tissue necrosis. It is only one type of wound debridement available at Encompass HealthCare and Wound Medicine. For more detailed information on enzymatic debridement, click HERE.

Mechanical Debridement:

This form of debridement is the removal of tissue using a dressing that is changed regularly. The dressing, commonly referred to as a wet to dry dressing, consists of moist gauze being applied to a wound that requires debridement, which is then covered by a sterile bandage. After a set period of time, the dressing will dry out, which allows the tissue to adhere to the gauze. When the dressing is removed, the tissue that adhered to the gauze is also removed. This type of debridement is also referred to as “non-selective debridement” as both healthy and unhealthy tissue can be removed with this process.

Maggot Debridement:

This type of debridement uses maggots, or fly larva, that are raised in a sterile environment to debride wounds. The maggots are placed on a wound, typically under a loose bandage, where they eat dead or dying tissue. Maggots are a selective type of debridement, meaning they only consume unhealthy tissue, leaving the healthy tissue undamaged.

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