2] laser debridements
before the initiation of adjunctive injections ranged from 1 to 15 (mean: 3.
A total of six patients who died required more than one surgical debridement
We also wanted to examine three potential prognostic factors: (1) the time delay from emergency room admission to surgery; (2) the initial extent of the disease; and (3) the impact of more than one debridement
procedure under general anesthesia in relation to patient survival.
The patients in this series also had no infections at a minimum of 21 days of follow-up and the investigators concluded that arthroscopic debridement
of wounds with minimal soft-tissue injury was adequate to prevent infection (Table 4).
Early aggressive debridement
, of any and all necrotic tissue, forms the cornerstone of therapy, with additional serial debridements
offering the best chance of survival.
The wound condition improved slowly after debridements
Outcomes measured The primary outcome measured was the number of debridements
needed to obtain a clean ulcer.
Ward (1987) used music and relaxation techniques to assist five burned patients receiving daily debridements
After an initial debridement
, the material was found to extend from the glottis to the upper trachea.
Conclusion: The result of early and delayed debridement
is almost the same in open fractures, if patients receive suitable antibiotic therapy.
Severity of the lesions demanded surgical debridement
(online Appendix Figure, available from http://www.
Riseman JA, Zamboni WA, Curtis A, et al: Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements
After receiving 575 mg of accumulated dosage plus 2 surgical debridements
of the lesion, the patient showed only slight improvement; he was then referred to our university hospital.
Multiple, surgical debridements
, including transcervical mediastinal debridement
, and eventually a thoracotomy for mediastinal abscess were required The patient eventually recovered, and 3 months later he showed no sign of complications or recurrence.
Our 2 patients who had deep infections required 6 subsequent debridements
and a nail removal to control the infections.