WOUND BED PREPARATION THROUGH DEBRIDATION

AN INTREGRATIVE REVIEM

Authors

DOI:

https://doi.org/10.31011/reaid-2024-v.98-n.3-art.2343

Keywords:

Debridement, Wound Healing, Nursing

Abstract

Introduction: Cleaning and debridement are essential steps in promoting the transition from the inflammatory phase to the proliferative phase in the wound healing process. Objective: To investigate the scientific evidence regarding wound bed preparation through debridement. Method: This study is an integrative literature review conducted on PubMed using the PICO strategy, with the guiding research question: What evidence exists on the types of debridement and their effectiveness in wound healing treatment? All studies available in full text for free, in Portuguese, English, and Spanish, within a 5-year time frame, and that used some form of debridement technique for wound bed preparation in their treatment protocol were included. Results: The selection of five articles revealed a wide range of debridement approaches for different types of wounds, including diabetic ulcers, burns, and venous or mixed-origin ulcers. Types of debridement identified included autolytic, hydrosurgical, conservative instrumental, and larval therapy. Conclusion: This analysis highlighted a variety of effective techniques in different clinical contexts. However, not all types of debridement are accessible and feasible for all patients. Therefore, it is crucial to emphasize that the clinical condition of the patient and the nature of each wound are unique, requiring individualized debridement therapy.

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Author Biography

Caren Cerqueira Mina, Universidade do Estado da Bahia

Acadêmica de Enfermagem pela Universidade do Estado da Bahia - Departamento de Educação - CAMPUS VII, Senhor do Bonfim BA. Atualmente bolsista PICIN de IC com o Projeto intitulado "Conhecimento de usuários do SUS sobre formas de transmissão e prevenção da infecção pelo HIV" 2023-2024. Aprovada como Bolsista FAPESB no programa de IC com o projeto intitulado "Representações Sociais de profissionais de saúde do SUS sobre a sexualidade de pessoas que vivem com HIV" em 2024-2025. Monitora voluntária nos projetos de extensão De Vida e Aprendendo a Socorrer em 2024. Monitora bolsista e voluntária do Projeto de extensão Cicatrizar em 2023. Monitora bolsista do projeto de extensão Cicatrizar em 2022. Cordenadora geral do Diretório Acadêmico de Enfermagem - Gestão Nightingale em 2021-2022. Monitora voluntária no projeto de extensão práticas educativas em saúde: gênero, educação sexual e sexualidade em 2021. Coordenação de eventos científicos, culturais e desportivos na Gestão Ressignificar em 2020-2021. Monitora voluntária no projeto de extensão educação sexual para escolaes em 2019.

References

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Murphy C, Atkin L, Dissemond J, Hurlow J, Tan YK, Apelqvist J, James G, Salles N, Wu J, Tachi M, Wolcott R. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: 'wound hygiene'. J Wound Care. 2019 Dec 2;28(12):818-822. doi: 10.12968/jowc.2019.28.12.818. PMID: 31825771.

Woo KY, Keast D, Parsons N, Sibbald RG, Mittmann N. The cost of wound debridement: a Canadian perspective. Int Wound J. 2015 Aug;12(4):402-7. doi: 10.1111/iwj.12122. Epub 2013 Jul 9. PMID: 23834451; PMCID: PMC7950378.

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Wormald JC, Wade RG, Dunne JA, Collins DP, Jain A. Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns. Cochrane Database Syst Rev. 2020 Sep 3;9(9):CD012826. doi: 10.1002/14651858.CD012826.pub2. PMID: 32882071; PMCID: PMC8094409.

Gaffari J, Akbarzadeh K, Baniardalani M, Hosseini R, Masoumi S, Amiri ZS, Shabani Kordshouli R, Rafinejad J, Dahmardehei M. Larval therapy vs conventional silver dressings for full-thickness burns: a randomized controlled trial. BMC Med. 2023 Sep 19;21(1):361. doi: 10.1186/s12916-023-03063-7. PMID: 37726738; PMCID: PMC10510148.

Ferreira LFSL, Figueiredo RMP, Oliveira LS, Vieira RPC, Leal EPBV, Pereira JD, Abreu AM, Figueiredo RAR. Larvoterapia no Tratamento de Lesões de Difícil Cicatrização: Revisão Integrativa. ESTIMA, Braz. J. Enterostomal Ther. 2022 20: e2622.doi: https://doi.org/10.30886/estima.v20.1239_PT

Published

2024-08-29

How to Cite

1.
Cerqueira Mina C, da Silva Santos E, Silva Nascimento V, de Sousa e Silva MD. WOUND BED PREPARATION THROUGH DEBRIDATION : AN INTREGRATIVE REVIEM. Rev. Enferm. Atual In Derme [Internet]. 2024 Aug. 29 [cited 2025 Dec. 7];98(3):e024378 . Available from: https://www.revistaenfermagematual.com.br/index.php/revista/article/view/2343

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Section

ARTIGO DE REVISÃO

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