Surgeons share how they evaluate whether a wound bed is ready for either an acellular dermal matrix or a skin graft
While there is no standardized approach to excision for wound bed preparation, there are tried and true
excision debridement techniques, according to surgeons who have spent decades helping patients achieve wound closure.
In the below brief, six surgeons from a variety of backgrounds, share what they consider to be the foundational techniques of excisional debridement: from how to hold the blade to patient positioning to when to salvage conditionally viable dermis.
Participating surgeons include Dr. Derek Bell, Director of the Kessler Burn Center at University of Rochester Medical Center; Dr. Roselle Crombie, General and Burn Surgeon from CT Burn Center, Yale New Haven Health System; Dr. James C. Jeng, General, Burn and Trauma Surgeon from UC Irvine; and Dr. Philip Fidler, Director of Education for Burn and Reconstructive Centers of America.
Read the below brief to hear these surgeons discuss their time-tested best practices for excisional debridement.
Please note: The opinions expressed, and techniques described, herein are general in nature and based on the clinical experience of the presenting physician. Physicians should use their own professional judgment and consider patient-specific factors in treating their own patients.
Disclosures: Drs. Crombie and Kopari have a consulting relationship with Integra LifeSciences. None of the quoted physicians were compensated for their participation on this project.