Sylvie Meaume
Head Gerontologic Unit Assistance Publique Hôpitaux de Paris Hôpital Charles Foix
7, Avenue de la République 94205 Ivry/Seine France 0033149594507, Fax 00149594524 e-mail: sylvie.meaume@cfx.ap-hop-paris.fr
Expert in Management of Chronic Wounds Director of the Wounds and Healings University Diploma Paris VI Vice-President of the French Wound Healing Society EPUAP Trustee EWMA Editorial Board
Luc Téot
Burns and Plastic Unit Hôpital Lapeyronie
391, Avenue du Doyen Gaston Giraud 34295 Montpellier Cedex 0033467338231, Fax 0033467041063 e-mail: l-teot@chu-montpellier.fr
Expert in management of acute and chronic wounds Co-Director of the Wounds and Healings University Diploma Montpellier I President of the French Wound Healing Society President Elect of the European Tissue Repair Society President Elect of the World Union of Wound Healing Societies
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd.
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Step by Step Wound Healing
© 2005, Sylvie Meaume, Luc Téot
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition : 2005
9788180613821
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd. A-14 Sector 60, Noida
4Preface
Wound healing has been the subject of a fantastic development since the last decade. The World Union of Wound Healing Societies represents a group of more than 5000 professionals spread all over the world, all members of the national groups and societies involved in wound healing. Techniques and management guidelines are still the subject of discussions in many continents, but it has been evidence based medicine demonstrated that the first mandatory step in wound management is the wound debridement. Debridement can be done by many different techniques, some of them being more progressive than others. The choice of the technique depends on the type of wound, the etiology, the degree of infection and the level of resources available. In this direction you can either choose a rapid expensive solution or a more progressive and safe cheap one.
Step by step debridement in wound healing represents the first issue of a long WUWHS Educational Program series.
Sylvie Meaume
Luc Téot
5Acknowledgements
Our thanks and sincere gratitude to Christine Khavas from the Polyclinique and nurses from pavillon l'Orbe, in Clinics of Gerontology in Charles Foix Hospital, Thanks to Mrs Sylvie Palmier, Chloé Trial and Evelyne Ribal from Montpellier University Hospital.