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Wound Bed Preparation

Maggot Debridement Therapy in the United States

June 20, 2019
By Ronald A. Sherman, MD The year 2019 began with a shadow over the field of biosurgery and a dark cloud over American health care: BioMonde, currently the largest producer of medicinal maggots in ...

Maggot-Induced Wound Healing – What is the Evidence?

February 27, 2013
By Ron Sherman MD, MSC, DTM&H Over 80 years ago, Dr. William Baer — then Chair of Orthopedic Surgery at Johns Hopkins — observed that wounds debrided with maggot therapy healed at least as well and...

Maintaining the Wound Bed

June 30, 2021
Wound bed maintenance is the process taken by the bedside clinician or nurse to create or preserve the wound environment at optimal conditions and thus encourage the chronic wound to move to a state o...

Methods of Wound Debridement

July 23, 2015
By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS There are four main types of debridement: mechanical, autolytic, enzymatic, and surgical. Each has its own advantages and disadvantages. Let’s take a lo...

Must Love Dogs: Animal Adventures in Home Health Care

January 10, 2019
By Margaret Heale, RN, MSc, CWOCN "Must Love Dogs (Cats, Lizards, Snakes, Birds, AND Arachnids)." This is a line that needs to be next to all job advertisements for home health care staff. You see,...

Necrotic Wounds: Overview and Treatment Options

October 7, 2013
By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS Necrotic tissue that is present in a wound presents a physical impediment to healing. Simply put, wounds cannot heal when necrotic tissue is present. In...

Non-Cytotoxic Wound Cleansers: What Should I Use?

June 10, 2022
The process of wound healing ideally progresses from inflammation to epithelialization and, finally, remodeling. If at any point bacterial (or fungal) colonization becomes prominent, the process of wo...

Preventing Debridement-Associated Complications

February 26, 2024
Wound care clinicians should understand the potential complications associated with the common types of debridement and the steps wound care providers can take to reduce the patient’s risk. Below the ...

Product Technology Overview: Collagenase SANTYL® Ointment

August 27, 2014
By Elliot Fialkoff and James McGuire DPM, PT, CPed, FAPWHc There are numerous causes for ulcerations including pressure, venous insufficiency, arterial insufficiency, and neuropathic wounds. All ha...

Providing Care During a Pandemic: Patients With Comorbidities

April 30, 2022
The COVID-19 pandemic has profoundly impacted many aspects of patient care and medical practice. Changes have ranged from supply chain adjustments to transformations in patient interactions. Many of t...
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