The role of surgical debridement in healing of diabetic foot ulcers.

Katherine A. Gordon, Elizabeth A. Lebrun, Marjana Tomic-Canic, Robert S. Kirsner

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

A critical question in the treatment of chronic wounds is whether and when debridement is needed. The three most common chronic wounds are the diabetic foot ulcer (DFU), the venous leg ulcer, and the pressure or decubitus ulcer. Surgical debridement, aimed at removing necrotic, devitalized wound bed and wound edge tissue that inhibits healing, is a longstanding standard of care for the treatment of chronic, nonhealing wounds. Debridement encourages healing by converting a chronic nonhealing wound environment into a more responsive acute healing environment. While the rationale for debridement seems logical, the evidence to support its use in enhancing healing is scarce. Currently, there is more evidence in the literature for debridement for DFUs than for venous ulcers and pressure ulcers; however, the studies on which clinicians have based their rationale for debridement in DFUs possess methodologic flaws, small sample sizes, and bias. Thus, further studies are needed to develop clinical evidence for its inclusion in treatment protocols for chronic wounds. Here, the authors review the scientific evidence for debridement of DFUs, the rationale for debridement of DFUs, and the insufficient data supporting debridement for venous ulcers and pressure ulcers.

Original languageEnglish (US)
Pages (from-to)24-26
Number of pages3
JournalSkinmed
Volume10
Issue number1
StatePublished - Jan 1 2012

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Diabetic Foot
Debridement
Pressure Ulcer
Varicose Ulcer
Wounds and Injuries
Venous Pressure
Leg Ulcer
Standard of Care
Clinical Protocols
Sample Size

ASJC Scopus subject areas

  • Immunology and Allergy
  • Dermatology

Cite this

Gordon, K. A., Lebrun, E. A., Tomic-Canic, M., & Kirsner, R. S. (2012). The role of surgical debridement in healing of diabetic foot ulcers. Skinmed, 10(1), 24-26.

The role of surgical debridement in healing of diabetic foot ulcers. / Gordon, Katherine A.; Lebrun, Elizabeth A.; Tomic-Canic, Marjana; Kirsner, Robert S.

In: Skinmed, Vol. 10, No. 1, 01.01.2012, p. 24-26.

Research output: Contribution to journalReview article

Gordon, KA, Lebrun, EA, Tomic-Canic, M & Kirsner, RS 2012, 'The role of surgical debridement in healing of diabetic foot ulcers.', Skinmed, vol. 10, no. 1, pp. 24-26.
Gordon KA, Lebrun EA, Tomic-Canic M, Kirsner RS. The role of surgical debridement in healing of diabetic foot ulcers. Skinmed. 2012 Jan 1;10(1):24-26.
Gordon, Katherine A. ; Lebrun, Elizabeth A. ; Tomic-Canic, Marjana ; Kirsner, Robert S. / The role of surgical debridement in healing of diabetic foot ulcers. In: Skinmed. 2012 ; Vol. 10, No. 1. pp. 24-26.
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