A dirty, uneven wound may benefit from direct sharp debridement back to clean viable tissue. Obtaining clean, even skin edges may improve healing, facilitate repair, and reduce scarring. If road grit is present, it must be removed to avoid infection and tattooing and may also need to be scrubbed. Generally, unless high-pressure irrigation is not removing grit, scrubbing is avoided because it may disrupt clotting along the skin edges. High-velocity trauma, soiled deep wounds, and fecal contamination represent wounds best cleaned in the operating room and allowed to heal open by secondary intention, as primary closure is contraindicated (Edlich et al., 2010).

Good anesthesia is critical to appropriate irrigation and debridement. If significant debridement is planned, the physician should document neurologic function in the injured area and distally before infiltration of the anesthetic.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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