On average, it costs $273 for Leang's treatment
- Impact on patient's life
- Cultural or regional significance
What kinds of symptoms do patients experience before receiving treatment?
A variety of injuries related to extensive skin loss and the cause of wounds can necessitate a debridement procedure. These include large open wounds, infection, and third degree burns.
What is the impact on patients’ lives of living with these conditions?
Patients who have injuries that are in need of a debridement are in compromised health and at risk of infection from bacteria or viruses entering through the open wound.
What cultural or regional factors affect the treatment of these conditions?
Road traffic accidents—particularly with motorcycles—and hot water or fire burns are common causes of injuries in Cambodia and can often result in surgeries that involve debridement.
- Impact on patient's life
- Risks and side-effects
What does the treatment process look like?
Debridement is done using scalpels, forceps, scissors and other instruments for large wounds that have deep tissue damage. First, the skin surrounding the wound is cleaned and disinfected. After determining the depth of the wound, the dead tissue is cut away and the wound is washed out to remove any free tissue. It may take the wound many weeks to heal. However, following a debridement procedure, patients will remain at the hospital for only one week for follow-up care.
What is the impact of this treatment on the patient’s life?
By removing unhealthy tissue from a wound, the wound is able to heal more easily and it reduces the patient’s risk of disease-causing bacteria or viruses entering the body, improving the overall health of the patient.
What potential side effects or risks come with this treatment?
Debridement procedures come with minor possible complications that include pain, bleeding, infection, and delayed healing.
How accessible is treatment in the area? What is the typical journey like for a patient to receive care?
Severe injuries in need of debridement procedures require surgical operation; affordable surgical care is not very accessible, and so patients travel as much as twelve hours to reach Children's Surgical Centre for free surgery, arriving by bus, motorbike, or taxi.
What are the alternatives to this treatment?
Alternatives to surgical debridement include chemical debridement (applying a debriding medication to the wound), mechanical debridement (involves a whirlpool bath, a syringe and catheter or wet to dry dressings), and autolytic debridement (involves dressings that retain wound fluids and assist in the body’s natural abilities to clean the wound). However, these alternatives are not as effective as surgical debridement in treating severe wounds.