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Tissue Debridement

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Armed Conflict Injuries to the Extremities

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Abstract

The major factor determining the outcome in high-energy combat injuries to the limbs is the severity and extension of the soft tissue damage. Primary radical debridement is a crucial phase in the management of patients after open high-energy injuries. Inadequate tissue debridement remains the major cause of acute and chronic infection after severe trauma. Often, this important first surgical procedure determinates the long-term outcome of severe trauma. Repeated serial debridements are required for patients with high-velocity war injuries, especially those suffering from explosive and crush injuries with large zones of injury and skeletal muscle defects. This chapter will focus and outline the general principles and techniques of primary wound inspection and surgical debridement after combat trauma.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Faculty of Medicine Technion, Israel Institute of Technology, Rambam Medical Center, Haaliyah Street 8, 31096, Haifa, Bat Galim, Israel

    Michael Soudry

  2. The Bruce Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa, Israel

    Michael Soudry & Alexander Lerner

  3. Department of Orthopedic Surgery, Faculty of Medicine Technion, Israel Institute of Technology, Ziv Medical Center, Str. Rambam 1, 13100, Zefat, Israel

    Alexander Lerner

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  1. Michael Soudry
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  2. Alexander Lerner
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Correspondence to Michael Soudry .

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Editors and Affiliations

  1. Ziv Medical Center, Str. Rambam 1, Zefat, 13100, Israel

    Alexander Lerner

  2. Faculty of Medicine, Deptartment of Orthopaedic Surgery, Rambam Medical Center, Haaliyah Street 8, Haifa, 31096, Israel

    Michael Soudry

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Soudry, M., Lerner, A. (2011). Tissue Debridement. In: Lerner, A., Soudry, M. (eds) Armed Conflict Injuries to the Extremities. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16155-1_8

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  • DOI: https://doi.org/10.1007/978-3-642-16155-1_8

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