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J O U R N A L O F WO U N D C A R E Vo l 2 2 . N o 1 . E W M A D o c u M E N t 2 0 1 3
S 3
Contents
Introduction
4
Method
6
Patientconsentfordebridement
8
Mechanical debridement
10
Wet-to-drydebridement
10
Paraffintulle
10
Gauze
11
Monofilamentfibrepad
12
Conclusions
12
Autolytic dressings, enzymatic dressings, absorptive dressings and honey
13
Autolyticdressings
13
Enzymaticdressings
17
Absorptivedressings
20
Honey
20
larvae debridement therapy
22
technical solutions
26
Directdebridementtechnologies
26
Jetlavage/hydrosurgery
26
Ultrasound
27
Indirectdebridementtechnologies
28
Negativepressure
28
Low-frequencyultrasound
29
Conclusions
30
Surgical and sharp debridement
31
Health economics: Wound management and debridement
35
Healtheconomicsandfactorsrelatedtohealingofnon-healingwounds
35
Costofwoundmanagement:Existingevidence
36
Thehealtheconomyofdebridement
37
Needforstudiesonthecost-effectivenessofdebridement
37
Debridement algorithm
39
References
42
Appendices
46
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