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Debridement for surgical wounds

  1. Fiona Smith1,*,
  2. Nancy Dryburgh2,
  3. Jayne Donaldson1,
  4. Melloney Mitchell3

Editorial Group: Cochrane Wounds Group

Published Online: 11 MAY 2011

Assessed as up-to-date: 12 APR 2011

DOI: 10.1002/14651858.CD006214.pub3


How to Cite

Smith F, Dryburgh N, Donaldson J, Mitchell M. Debridement for surgical wounds. Cochrane Database of Systematic Reviews 2011, Issue 5. Art. No.: CD006214. DOI: 10.1002/14651858.CD006214.pub3.

Author Information

  1. 1

    Edinburgh Napier University, School of Nursing, Midwifery and Social Care, Edinburgh, UK

  2. 2

    Edinburgh, UK

  3. 3

    The Royal Infirmary, Edinburgh, UK

*Fiona Smith, School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4BN, UK. f.smith@napier.ac.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 11 MAY 2011

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This is not the most recent version of the article. View current version (05 SEP 2013)

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Goode 1979 {published data only}
  • Goode AW, Glazer G, Ellis BW. The cost effectiveness of dextranomer and Eusol in the treatment of infected surgical wounds. British Journal of Clinical Practice 1979;33(11-12):325-6.
Michiels 1990 {published data only}
Poulson 1983 {published data only}
  • Poulson J, Kristensen VN, Brygger HE, Delikaris P. Treatment of infected surgical wounds with Varidase. Acta Chirurgica Scandinavica 1983;149:245-8.
Sondergaard 1982 {published data only}
  • Sondergaard JO, Galatius H. Debrisan compared with chloramine packs in the treatment of postoperative infected wounds [Debrisan versus kloramin-mecheved postoperative inficerede cikatricer]. Ugeskrift for Laeger 1982;144(21):1523-5.
Young 1982 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Allie 2004 {published data only}
  • Allie DE, Herbert CJ, Lirtzman MD, Wyatt CH, Keller VA, Souther SM, et al. Novel treatment strategy for leg and sternal wound complications after coronary graft surgery: bioengineered Apligraf. Annals of Thoracic Surgery 2004;78(2):673-8.
Bethell 2003 {published data only}
  • Bethell E. Why gauze dressings should not be the first choice to manage acute surgical cavity wounds. Journal of Wound Care 2003;12(6):237-9.
Cannavo 1998 {published data only}
  • Cannavo M, Fairbrother G, Owen D, Ingle J, Lumley T. A comparison of dressings in the management of surgical abdominal wounds. Journal of Wound Care 1998;7(2):57-62.
Capasso 2003 {published data only}
  • Capasso VA, Munro BH. The cost and efficacy of two wound treatments. AORN Journal 2003;77(5):984-1004.
Cohn 2004 {published data only}
  • Cohn SM, Lopez PP, Brown M, Namias N, Jackowskl J, Li P, et al. Open surgical wounds: how does Aquacel compare with wet-to-dry gauze. Journal of Wound Care 2004;13(1):10-2.
De Feo 2001 {published data only}
  • De Feo M, De Sante LS, Ramano G, Renzulli A, Corter AD, Utili R, et al. Treatment of recurrent staphylococcal mediastinitis: still a controversial issue. Annals of Thoracic Surgery 2001;75:538-42.
De Feo 2003 {published data only}
  • De Feo M, Gregorio R, Corter AD, Marra C, Amarelli C, Renzulli A, et al. Deep sternal wound infection: the role of early debridement surgery. European Journal of Cardio-thoracic Surgery 2003;19(6):811-6.
Doughty 2005 {published data only}
  • Doughty DB. Preventing and managing surgical wound dehiscence. Advances in Skin and Wound Care 2005;18(6):319-22.
Douville 2004 {published data only}
  • Douville EC, Asaph JW, Dworkin RJ, Handy JR, Canepa CS, Grunkemeier GL, et al. Sternal preservation: a better way to treat most sternal wound complications after cardiac surgery. Annals of Thoracic Surgery 2004;78(5):1659-64.
Edwards 1967 {published data only}
  • Edwards RH, Killen DA. Comparison of two methods of management of clean surgical wounds. JAMA 1967;201(1):137-8.
Foster 2000 {published data only}
  • Foster L, Moore P, Clark S. Comparison of hydrofibre and alginate dressings on open acute surgical wounds. Journal of Wound Care 2000;9(9):442-5.
Gliantsev 1996 {published data only}
  • Gliantsev SO, Savvina TV. Comparative evaluation of activity of proteolytic enzymes used in surgery. Biulleten Eksperimentalnoi Biologii 1996;121(6):16-20.
Gottrup 2005 {published data only}
  • Gottrup F. The significance of dressings and topical agents in secondary healing [Betydningen af bandage og lokale midler ved sekundaert helede kirurgiske sar]. Ugeskrift for Laeger 2005;167(47):4473-6.
Granick 2006 {published data only}
Guest 2005 {published data only}
  • Guest JF, Ruiz FJ. Modelling the cost implications of using carboxymethylcellulose dressing compared with gauze in the management of surgical wound healing by secondary intention in the US and UK. Current Medical Research and Opinion 2005;21(2):94-101.
Kuleshov 1992 {published data only}
  • Kuleshov SE, Kaem RI. The use of carbon dioxide laser in acute surgical infection of the soft tissues. Khirurgiia Moskva 1992;2:94-101.
Moore 2000 {published data only}
  • Moore PJ, Foster L. Cost benefits of two dressings in the management of surgical wounds. British Journal of Nursing 2000;9(17):1128-32.
Moore 2001 {published data only}
  • Moore OA, Smith LA, Campbell F, Seers K, McQuay HJ, Moore RA. Systematic review of the use of honey as a wound dressing. BMC Complementary and Alternative Medicine 2001;1(2):2.
Moues 2004 {published data only}
Mulder 1995 {published data only}
  • Mulder GD. Evaluation of three nonwoven sponges in the debridement of chronic wounds. Ostomy/Wound Management 1995;41(3):62-7.
Rand 1998 {published data only}
  • Rand RP, Cochran RP, Aziz S, Hofer BO, Allen MD, Verrier ED, et al. Prospective trial of catheter irrigation and muscle flaps for sternal wound infection. Annals of Thoracic Surgery 1998;65(4):1046-9.
Soul 1978 {published data only}
Tolstykh 1987 {published data only}
  • Tolstykh PI, Glostishchev VK, Khanin AG, Aboyants RK, Yusuf MY, Antsyshkin VA. The effect of biologically active dressings of wounds upon the development of the wound process. Vestnivk Khirurgh IM I I Grekova 1987;138(3):57-60.
Williams 1995 {published data only}
  • Williams P, Howells REJ, Miller E, Foster ME. A comparison of two alginate dressings used in surgical wounds. Journal of Wound Care 1995;4(4):170-2.
Zeitani 2004 {published data only}
  • Zeitani J, Bertoldo F, Bassano C, Penta de Peppo A, Pellegrino AP, El Fakhri FM, et al. Superficial wound dehiscence after median sternotomy: surgical treatment versus secondary wound healing. Annals of Thoracic Surgery 2004;77(2):672-5.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Ashworth 2002
  • Ashworth J. Conservative sharp debridement: the professional and legal issues. Professional Nurse 2002;17(10):585-8.
Ayello 2004
  • Ayello EA, Cuddigan JE. Debridement: controlling the necrotic/cellular burden. Advances in Skin and Wound Care 2004;17(2):66-78.
Baharestani 1999
  • Baharestani M. The clinical relevance of debridement. In: Baharestani M, Gottrup F, Holstein P, Vanscheidt W editor(s). The clinical relevance of debridement. Berlin: Springer-Verlag, 1999:1-15.
Bale 1997
  • Bale S, Jones V. Wound care nursing: a patient centred approach. London: Bailliere Tindall, 1997.
Baxter 2003
  • Baxter H. Management of surgical wounds. Nursing Times 2003;99(13):66-8.
Bradley 1999
  • Bradley M, Cullum N, Sheldon T. The debridement of chronic wounds: a systematic review. Health Technology Assessment 1999;3(17 Pt 1):iii-iv, 1-78.
Brennan 1985
Dealey 1994
Edwards 2010
Falabella 2006
Flanagan 1999
  • Flanagan M. Reviewing the case for debridement. Journal of Wound Care 1999;8(6):267.
Higgins 2003
Higgins 2009
  • Higgins JPT, Altman DG, on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group (Editors). Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.2 [updated September 2009]. The Cochrane Collaboration, 2009. Available from www.cochrane-handbook.org.
Hofman 2002
  • Hofman D. Debridement—a nursing issue?. www.etrs.org/bulletin9_3/section5.html 2002 (accessed 17 November 2005).
Lefebvre 2009
  • Lefebvre C, Manheimer E, Glanville J, on behalf of the Cochrane Information Retrieval Methods Group. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.2 [updated September 2009]. The Cochrane Collaboration, 2009. Available from www.cochrane-handbook.org.
Lewis 2000
  • Lewis R, Whiting P, ter Reit G, O'Meara S, Glanville J. A rapid systematic review of the clinical effectiveness and cost effectiveness of debriding agents in treating surgical wounds healing by secondary intention. York: NHS Centre for Reviews and Dissemination, 2000.
Morgan 1991
  • Morgan DA. Chlorinated solutions - an update. Journal of Tissue Viability 1991;2:31-3.
Morgan 2004
  • Morgan DA. Formulary of wound management products: a guide for health care staff. 9th Edition. Haslemere, Surrey, UK: Euromed Communications Ltd, 2004:32-3.
NICE 2001
  • National Institute for Clinical Excellence. Guidance on the use of debriding agents and specialist wound care clinics for difficult to heal surgical wounds. www.nice.org.uk/page.aspx?o=16585 (accessed 8 July 2005).
O'Brien 2002
  • O'Brien M. Exploring methods of wound debridement. British Journal of Community Nursing 2002;7(12):10,12,14,16-8.
O'Brien 2003a
  • O'Brien M. Exploring methods of wound debridement. In: White RJ editor(s). Trends in wound care. Vol. II. Dinton, Salisbury: Quay Books Division, MA Healthcare, 2003:95-107.
O'Brien 2003b
  • O'Brien M. Debridement: ethical, legal and practical considerations. British Journal of Community Nursing 2003;8(Suppl 3):23-5.
O'Brien 2003c
  • O'Brien M. Methods of debridement and patient focused care. Journal of Community Nursing 2003;17(11):17-25.
Pollard 2008
  • Pollard T. Now is the time to find a new benchmark. Journal of Wound Care 2008;17(3):93.
Poston 1996
  • Poston J. Surgical nurse: sharp debridement of devitalised tissue: the nurse's role. British Journal of Nursing 1996;5(11):655-6, 658-62.
Ramundo 2000
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Schultz 2003
Sibbald 2000
  • Sibbald RG, Williamson D, Orsted HL, Campbell K, Keast D, Krasner D, et al. Preparing the wound bed - debridement, bacterial balance and moisture balance. Ostomy/Wound Management 2000;46(11):14-35.
SIGN 2007
  • Scottish Intercollegiate Guidelines Network. Search filters. www.sign.ac.uk/methodology/filters.html#random (accessed 7 December 2007).
Stotts 2000
  • Stotts NA. Wound infection: diagnosis and management. In: Bryant RA editor(s). Acute and chronic wounds: nursing management. 2nd Edition. St Louis: Mosby, 2000:179-88.
Stotts 2004
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Thomas 1999
  • Thomas AML, Moore K. The structure and composition of chronic wound eschar. Journal of Wound Care 1999;8(6):285-90.
Ubbink 2006
  • Ubbink D, Vermeulen H, Goossens A, Kelner R, Lubbers M. Randomized clinical trial comparing modern versus gauze dressings to treat open wounds in surgical patients. 16th Conference of the European Wound Management Association; 2006, 18-20 May; Prague, Czech Republic. 2006.
Vowden 1999a
  • Vowden K, Vowden P. Wound debridement, part 1: non-sharp techniques. Journal of Wound Care 1999;8(5):237-40.
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