What is enzymatic debridement?

Enzymatic debridement means putting special chemicals, called enzymes, on the wound to dissolve dead tissue. It is one of several debridement methods, and you should never attempt debridement yourself.

Enzymatic debridement means putting special chemicals, called enzymes, on your wound. These dissolve dead tissue from the wound.

That is the whole mechanism. Enzymes are applied, and they dissolve tissue that is already dead.

It is one of several ways of doing the same job. Debridement is the process of removing dead skin and tissue, and this tissue must be removed to help your wound heal. The methods include surgical debridement using a scalpel, scissors or other sharp tools; sitting or placing the limb in a whirlpool bath; using a syringe to wash away dead tissue; applying wet-to-dry dressings, where a wet dressing is applied and allowed to dry so that it absorbs some of the dead tissue and is then pulled off along with it; and the enzyme method described above.

Which one is used is a clinical decision rather than a preference. Which wounds suit enzymes, how long the treatment takes, and how it compares with the alternatives are questions for your provider.

One instruction is clear, and it applies to debridement of any kind: you should never try to do this yourself. A provider, such as a podiatrist, will need to do this to make sure the debridement is done correctly and does not make the injury worse.

It is also worth knowing what the wound may look like afterward, because it can be alarming. Your wound may seem bigger and deeper after debridement, and the area will be red or pink in color and look like fresh meat. Wounds that are pale, purple or black are less likely to heal.

What to watch for

Never try to do this yourself. A provider, such as a podiatrist, will need to do this to make sure the debridement is done correctly and does not make the injury worse.

After debridement, the wound may seem bigger and deeper, and the area will be red or pink and look like fresh meat. A wound that looks larger after the procedure is not necessarily a wound that has gotten worse.

Wounds that are pale, purple or black are less likely to heal. Contact your provider if a foot ulcer is very white, blue or black.

Wound Wizard is general education and cannot assess your wound or your situation. Your own clinician is the right person to ask.

What we look at

  • Examining and measuring the wound
  • Judging how much dead tissue is present
  • Choosing a debridement method for this wound
  • Reviewing the wound after debridement

Sources

  1. Wound care centers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000739.htm
  2. Diabetes - foot ulcers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000077.htm