Description
In this informative presentation, Rhidian Morgan-Jones shares his expertise on the critical role of debridement in managing infections, particularly in orthopedic surgery. He discusses his lifelong commitment to understanding and applying effective debridement techniques, emphasizing its importance in treating patients with infections characterized by clear signs, such as sinuses and positive cultures.
Morgan-Jones outlines the six defined steps of debridement, focusing on three primary methods: surgical, mechanical, and chemical debridement. He explains the process of surgical debridement, which begins with exposure to the infected area, followed by the removal of foreign materials and dead tissue, noting the significance of thoroughness in the procedure. He advocates for the mindset of focusing solely on the debridement phase without prematurely considering the reconstruction of the surgical site.
He provides detailed examples from his experience, showcasing techniques such as reaming and lavage to remove necrotic tissue while highlighting the need for cyclical debridement until the biofilm is adequately addressed. Morgan-Jones also touches on chemical debridement using various agents like acetic acid, pointing out their historical significance and modern applications.
Ultimately, he reaffirms that effective debridement is crucial for controlling infections, allowing for future reconstruction, and that it should be approached methodically and carefully to achieve the best outcomes.