What is wound debridement?

When a doctor removes dead or unhealthy tissue from a wound, it's called debridement (say "dih-BREED-munt"). Doctors do this to help a wound heal.

It's a good idea to remove dead tissue for a few reasons. First, dead tissue gives bacteria a place to grow. This can cause infection. Second, dead tissue can slow the growth of healthy tissue.

To do this procedure, the doctor may use a saline solution to clean the wound. Then the doctor may use:

• A scalpel or scissors to cut dead tissue from the wound.
• A device that uses pressure to wash the wound.
• An ointment that goes on top of the wound and breaks down dead tissue.
• A special bandage over the wound to keep it moist. This can help your child's body get rid of the dead tissue on its own.

If your child's wound is large, your child may need a skin graft. This helps new tissue grow.

What happens on the day of the procedure?

• 
  Follow the instructions exactly about when your child should stop eating and drinking. If you don't, the procedure may be cancelled. If your doctor told you to have your child take his or her medicines on the day of the procedure, have your child take them with only a sip of water.
• Follow the doctor's instructions about when your child should bathe or shower before the procedure. Do not apply lotion or deodorant.
• Your child may brush his or her teeth. But tell your child not to swallow any toothpaste or water.
• Do not let your child wear contact lenses. Bring your child's glasses or contact lens case.
• Be sure your child has something that reminds him or her of home. A special stuffed animal, toy, or blanket may be comforting. For an older child, it might be a book or music.

At the hospital or surgery centre

• A parent or legal guardian must accompany your child.
• Your child will be kept comfortable and safe by the anesthesia provider. The anesthesia may make your child sleep. Or it may just numb the area being worked on.
• The procedure will likely take about 30 minutes. But it can take longer. It depends on how the doctor does the debridement. It also depends on where the wound is, how big it is, and how serious it is.