Tunneling in Chronic Decubitus Ulcers
Tunneling in wounds is a challenging problem for clinicians, particularly when the wounds are located on the sacrum or lower extremities.
Surgery in the operating room is a classic treatment but can be problematic depending on patient comorbidities and may not be the ideal choice when repeated surgical debridements are required.
A bedside approach combining sharp debridement with jet lavage offers an attractive alternative for these difficult wounds. Sharp debridement can provide a thorough removal of slough and necrotic tissue and can create clean wound margins. Daily jet lavage can be used to continuously remove slough and debris and prevent biofilm from recolonizing the wound.
Click here to learn more about tunneling in chronic wounds.