caa a22 4500 475801822 CHVBK 20180406123739.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s002680010188 doi (NATIONALLICENCE)springer-10.1007/s002680010188 Débridement of Gunshot Wounds: Semantics and Surgery [Elektronische Daten] [Roger Saadia, Moshe Schein] Débridement is a well established modality for management of gunshot wounds. The word "débridement” is originally French. It was used for the first time during the eighteenth century in the surgical context and meant "wound incision.” For French surgeons, it has retained to this day its original meaning. In medical English, though, the use of the term has been marred by persisting confusion about its definition. Two quite different surgical procedures still compete for the definition of débridement: wound incision and wound excision. These procedures are also at the center of a modern controversy about the management of gunshot wounds. The orthodox doctrine, inherited from military surgeons, consists of aggressive tissue excision around the bullet track. This radical policy is being challenged by advocates of a more conservative approach. Minimal tissue excision is sufficient and safe in many cases provided careful monitoring of the wound is instituted. Wound incision alone to relieve tension and allow drainage is possible in certain cases. The tug-of-war between excision and incision is outlined herein with reference to the semantic tribulations of the word "débridement” and the implications for patient care. Société Internationale de Chirurgie, 2000 Saadia Roger Department of Surgery, University of Manitoba, Health Sciences Center, 820 Sherbrook Street, Winnipeg, Manitoba, R3A 1R9, Canada aut Schein Moshe Department of Surgery, New York Methodist Hospital, Cornell University Medical College, 516 Sixth Street, Brooklyn, New York 11215, USA aut World Journal of Surgery Springer-Verlag 24/9(2000-09-01), 1146-1149 0364-2313 24:9<1146 2000 24 268 https://doi.org/10.1007/s002680010188 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010188 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Saadia Roger Department of Surgery, University of Manitoba, Health Sciences Center, 820 Sherbrook Street, Winnipeg, Manitoba, R3A 1R9, Canada aut NATIONALLICENCE 700 1- Schein Moshe Department of Surgery, New York Methodist Hospital, Cornell University Medical College, 516 Sixth Street, Brooklyn, New York 11215, USA aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/9(2000-09-01), 1146-1149 0364-2313 24:9<1146 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer