Name of the Procedure:

Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof

Summary

Debridement involves the removal of dead, damaged, or infected tissue from extensive areas of eczema or other skin infections. This additional procedure is necessary when debridement is required for an extra 10% of the body surface, supplementing the primary procedure.

Purpose

• Medical Condition: Eczema, infected skin
• Goals: Remove damaged tissue to promote healing and prevent infection
• Expected Outcomes: Reduced infection and inflammation, enhanced healing

Indications

• Severe eczema with significant dead or infected skin
• Widespread skin infections requiring extensive debridement
• Patients showing signs of systemic infection from skin lesions

Preparation

• Instructions: Follow fasting guidelines if anesthesia is used; pause certain medications as directed by a physician
• Tests: Pre-procedure blood tests, allergy tests for anesthesia, skin assessment

Procedure Description

1. Anesthesia: Local or general anesthesia depending on the extent of the area
2. Sterilization: Clean and sterilize the affected area
3. Debridement: Surgical removal of dead/infected skin using scalpel, scissors, or other tools
4. Dressing: Apply appropriate dressings and antiseptics post-debridement

Duration

Approximately 30-90 minutes, depending on the extent of the additional area treated.

Setting

Hospital operating room or outpatient surgical center.

Personnel

• Surgeon specialized in dermatology or wound care
• Nurses
• Anesthesiologist (if general anesthesia is required)

Risks and Complications

• Common: Pain, bleeding, infection at the site
• Rare: Scarring, delayed wound healing, adverse reaction to anesthesia
• Management: Use of antibiotics, pain relief medication, and close monitoring for complications

Benefits

• Reduction in infected or dead tissue
• Prevention of systemic infection
• Promotion of faster and more effective healing

Recovery

• Care: Keep the area clean, apply prescribed ointments, change dressings as instructed
• Time: Varies; generally a few weeks for complete healing
• Restrictions: Avoid harsh soaps, protect the area from trauma, follow up with healthcare provider

Alternatives

• Topical treatments for less severe cases
• Oral or IV antibiotics for infection control
• Moist dressings without surgical intervention
• Comparison: Debridement offers quicker and more definitive removal of damaged tissue but has higher risk compared to non-surgical treatments.

Patient Experience

• During: Minimal sensation if local anesthesia used; discomfort if general anesthesia is not given
• After: Some pain managed with medications; dressing changes required; potential discomfort during healing

Pain management will involve prescribed analgesics, and comfort measures include proper dressing care and following post-procedure guidelines diligently.