The concept of wound debridment is as old as surgery. Influencing wound healing by removal of devitalized tissue can provide dramatically better outcomes in many circumstances. Radical debridment through amputation of extremities shattered by projectiles drastically reduced the incidence of sepsis and death in 19th-century wars. Today, debridment remains a fixed tenet of management of pressure sores, burns, necrotizing fasciitis, and diabetic lower-extremity ischemia.
The topic of debridment is still relevant in today’s medical literature. Tragically, the increasing number of blast injuries throughout the world has renewed interest in aggressive debridment in cases of massive trauma. On the other hand, the literature seems to support a trend toward more focused debridment of uncomplicated gunshot wounds and venomous bites. And “larval therapy” or “biosurgery” remains a popular topic in the wound-management medical literature.
Manning SC. Use of SLSE After Endoscopic Sinus Surgery in Children Should Be Strictly Limited. Arch Otolaryngol Head Neck Surg. 2005;131(3):269-270. doi:10.1001/archotol.131.3.269