Debridement of Diabetic Foot Ulcers

被引：50

作者：

Dayya, David ^{[1
,2
,3
,4
,5
,6
,7
]}

O'Neill, Owen J. ^{[1
,4
,8
]}

Huedo-Medina, Tania B. ^{[2
,3
]}

Habib, Nusrat ^{[2
,3
]}

Moore, Joanna ^{[7
]}

Iyer, Kartik ^{[7
]}

机构：

[1] Phelps Hosp Northwell Hlth, Div Undersea & Hyperbar Med, Dept Surg, Sleepy Hollow, NY 10591 USA

[2] Univ Connecticut, Dept Allied Hlth Sci, Storrs, NY USA

[3] Univ Connecticut, Dept Community Med, Storrs, CT USA

[4] SUNY Upstate Med Univ, Dept Emergency Med, Syracuse, NY 13210 USA

[5] Univ Vermont, Coll Med, Dept Family Med, Burlington, VT USA

[6] Greenwich Hosp, Dept Med, Greenwich, CT USA

[7] Norwalk Hosp, Dept Med, Norwalk, CT 06856 USA

[8] New York Med Coll, Dept Med, Valhalla, NY 10595 USA

来源：

ADVANCES IN WOUND CARE | 2022年 / 11卷 / 12期

关键词：

debridement; diabetes; dressings; foot ulcers; public health; LOWER-EXTREMITY ULCERS; NEUROPATHIC FOOT; NONDIABETIC PATIENTS; LIMB AMPUTATION; ECONOMIC BURDEN; COST-ANALYSIS; THERAPY; RISK; EPIDEMIOLOGY; INTERVENTIONS;

D O I：

10.1089/wound.2021.0016

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Diabetic foot ulcerations have devastating complications, including amputations, poor quality of life, and life-threatening infections. Diabetic wounds can be protracted, take significant time to heal, and can recur after healing. They are costly consuming health care resources. These consequences have serious public health and clinical implications. Debridement is often used as a standard of care. Debridement consists of both nonmechanical (autolytic, enzymatic) and mechanical methods (sharp/surgical, wet to dry debridement, aqueous high-pressure lavage, ultrasound, and biosurgery/maggot debridement therapy). It is used to remove nonviable tissue, to facilitate wound healing, and help prevent these serious outcomes. What are the various forms and rationale behind debridement? This article comprehensively reviews cutting-edge methods and the science behind debridement and diabetic foot ulcers.

引用

页码：666 / 686

页数：21

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