In the event that the underlying tissues are exposed to the external environment, a wound is created. This can happen when a surgeon intentionally makes an incision in the skin for the purpose of accessing internal structures. Such wounds are generally referred as surgical wounds. When the respiratory, genitourinary or gastrointestinal tracts are entered, the wound is said to be contaminated and need to undergo wound debridement, even though there may be no signs of infection. Clean, contaminated surgical wounds have signs of infection.
In the event that a person is shot for one reason or another, the bullet stuck in the body is considered a foreign body. If it is not removed in time, an infection can quickly set in and complicate the situation. Pieces of wood or metal can also get lodged in tissues accidentally. Other than foreign bodies, dirty tissues can be the result of complications of medical procedures. This means that healthcare providers may be the cause of a clean wound getting complicated.
Tissues that require debridement usually are dead, smelly and extensive. This commonly happens when decomposition has been going on for too long without the necessary intervention. Early intervention and active surveillance should start with the affected persons. They need to undertake first aid measures at home and then check in to a hospital for further management on time. The role of the doctor is to prescribe antibiotics and monitor healing.
When normal tissues are exposed to the environment, they are at risk of getting infected by the many bacteria that exist in nature. Once bacteria get in contact with vulnerable skin, the body immediately mounts an immune response. The cells responsible for fighting infection (white blood cells) are transported to the site of bacteria. These cells release substances that are toxic to the survival of the bacteria inside the body. In the event that the immune system fails to correct the anomaly, pus begins to form and the tissues begin to decay.
There are various ways in which wounds can be debrided. A common method is to mechanically get rid of debris by use of appropriate surgical tools. This is normally done under local or general anaesthesia based on how much tissue needs to be removed. In other instances, chemicals are used to breakdown abnormal tissues and isolate them from the normal tissues.
In isolated situations, larvae from maggots can be utilized. The area to be debrided is marked and larvae deposited there. The main goal is to ensure that all bacteria are consumed by the maggots thus preventing systemic spread.
The area is usually dressed after every debridement session to prevent further exposure to microbes and to provide some time for it to heal. Grafting should be considered for wounds that are extremely extensive. This may mean that a plastic and reconstructive surgeon be incorporated into the management team.
In conclusion, wounds can be caused at home or in the hospital when sterility is not observed. People who have a reduced level of immunity(such as those with diabetes) are more likely to suffer from chronic wounds compared to the general population. It is important that debridement is done to allow new, normal skin to form.
In the event that a person is shot for one reason or another, the bullet stuck in the body is considered a foreign body. If it is not removed in time, an infection can quickly set in and complicate the situation. Pieces of wood or metal can also get lodged in tissues accidentally. Other than foreign bodies, dirty tissues can be the result of complications of medical procedures. This means that healthcare providers may be the cause of a clean wound getting complicated.
Tissues that require debridement usually are dead, smelly and extensive. This commonly happens when decomposition has been going on for too long without the necessary intervention. Early intervention and active surveillance should start with the affected persons. They need to undertake first aid measures at home and then check in to a hospital for further management on time. The role of the doctor is to prescribe antibiotics and monitor healing.
When normal tissues are exposed to the environment, they are at risk of getting infected by the many bacteria that exist in nature. Once bacteria get in contact with vulnerable skin, the body immediately mounts an immune response. The cells responsible for fighting infection (white blood cells) are transported to the site of bacteria. These cells release substances that are toxic to the survival of the bacteria inside the body. In the event that the immune system fails to correct the anomaly, pus begins to form and the tissues begin to decay.
There are various ways in which wounds can be debrided. A common method is to mechanically get rid of debris by use of appropriate surgical tools. This is normally done under local or general anaesthesia based on how much tissue needs to be removed. In other instances, chemicals are used to breakdown abnormal tissues and isolate them from the normal tissues.
In isolated situations, larvae from maggots can be utilized. The area to be debrided is marked and larvae deposited there. The main goal is to ensure that all bacteria are consumed by the maggots thus preventing systemic spread.
The area is usually dressed after every debridement session to prevent further exposure to microbes and to provide some time for it to heal. Grafting should be considered for wounds that are extremely extensive. This may mean that a plastic and reconstructive surgeon be incorporated into the management team.
In conclusion, wounds can be caused at home or in the hospital when sterility is not observed. People who have a reduced level of immunity(such as those with diabetes) are more likely to suffer from chronic wounds compared to the general population. It is important that debridement is done to allow new, normal skin to form.
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